Organization Active NPI

Integrative Primary Care of El Paso, PLLC

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1497411037
Registry record updated Oct 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INTEGRATIVE PRIMARY CARE OF EL PASO, PLLC
Practice address
11450 Gateway North Blvd. Suite 2200
El Paso, TX 79934
Phone
(915) 691-5379
NPI assigned
Nov 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2022

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

Authorized official

Name
Dr. Agathe Franck, MDNPI 1356512065
Title
Ceo
Phone
(915) 740-7064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

11450 Gateway North Blvd. Suite 2200
El Paso, TX 79934

Mailing address

11450 Gateway Blvd N Ste 2200
El Paso, TX 79934-3461
Phone (915) 440-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220316000117 TX Part B Supplier - Clinic/Group Practice 7012302706 Receives reassigned benefits from 5 practitioners
Practice locations: El Paso, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2245560Integrative Primary Care of El Paso, LLC11450 Gateway N Blvd Suite 2200, El Paso, TX 79934Provider-performed microscopyDec 13, 2027

National Provider Directory

National Provider Directory

Locations

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

11450 Gateway Blvd N
El Paso, TX 79934

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFFIDD
  • FHIR API: https://api.platform.athenahealth.com/24996/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667001600000",
    "number": "1497411037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11450 GATEWAY BLVD N STE 2200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799343461",
            "telephone_number": "915-440-3700",
            "fax_number": "915-440-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11450 GATEWAY NORTH BLVD. SUITE 2200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79934",
            "telephone_number": "915-691-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PRIMARY CARE OF EL PASO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2022-10-29",
        "certification_date": "2022-10-29",
        "status": "A",
        "authorized_official_last_name": "FRANCK",
        "authorized_official_first_name": "AGATHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "915-740-7064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.