NPIMap

Individual provider Active NPI

Agathe Franck, M.D.

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1356512065
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P9569 Issued in TX
Practice address
9849 Kenworthy St
El Paso, TX 79924
Phone
(915) 215-5500
NPI assigned
Mar 20, 2008
Last updated
Oct 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA08607000 NJ
Family Medicine Physician 207Q00000X P9569 TX Primary

Addresses

Primary practice location

9849 Kenworthy St
El Paso, TX 79924

Mailing address

6305 Franklin Desert Dr
El Paso, TX 79912-8160
Phone (915) 691-5379

Other identifiers 1

IdentifierTypeStateIssuer
0208868MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140801000901 TX Practitioner - Family Practice 2961540406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Primary Care of El Paso PLLCGroup PAC ID 7012302706, 3 clinicians

Practice addresses (Care Compare)

11450 Gateway Blvd N
Suite 2200
El Paso, TX 79934-3456
Phone (915) 440-3700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08607000NJMDFamily Medicine Physician
P9569TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jun 1, 2014 Accepting new patients
Integrative Primary Care of El Paso, PLLC Family Medicine CurrentSince Mar 1, 2022 Accepting new patients
Texas Tech University Health Sciences Center Family Medicine CurrentSince Jun 1, 2014 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients

Locations

11450 Gateway Blvd N
Ste 2200
El Paso, TX 79934
Phone (915) 440-3700

4800 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5666

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

9849 Kenworthy St
El Paso, TX 79924
Phone (915) 215-5500

Interoperability endpoints

  • Direct secure messaging: agathe.franck.1@24996.direct.athenahealth.com
  • Direct secure messaging: agathe.franck@direct.myhealthep.org
  • FHIR API: https://api.platform.athenahealth.com/24996/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DFFIDD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1356512065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 FRANKLIN DESERT DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799128160",
            "telephone_number": "915-691-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9849 KENWORTHY ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79924",
            "telephone_number": "915-215-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCK",
        "first_name": "AGATHE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-20",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08607000",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P9569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0208868",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.