Individual provider Active NPI

Essien Utibe Ekong, M.D

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1659755122
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T2157 Issued in TX
Practice address
333 1St St Ste a
San Francisco, CA 94105-2661
Phone
(888) 803-3370
NPI assigned
Jul 15, 2015
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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 7571 NE
Family Medicine Physician 207Q00000X T2157 TX Primary

Addresses

Primary practice location

333 1St St Ste a
San Francisco, CA 94105-2661

Mailing address

5373 W Alabama St Ste 204
Houston, TX 77056-5923
Phone (888) 803-3370

Other practice location 1

601 N 30th St
Cu Department of Family Medicine
Omaha, NE 68131-2128
Phone (402) 280-2010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220525002998 TX Practitioner - Family Practice 6800184706 Reassigns benefits to 10 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7571NEMDFamily Medicine Physician
T2157TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Jun 16, 2022 Accepting new patients
Baylor County Hospital District CurrentSince Dec 7, 2024 Accepting new patients
Texas Medicine Resources, LLP CurrentSince Sep 24, 2023 Accepting new patients
South Central Physicians PLLC CurrentSince Oct 7, 2022 Accepting new patients
Exceptional Health Care Maricopa LLC CurrentSince Dec 28, 2021 Accepting new patients
Ess of Fairfield LLC CurrentSince Jun 28, 2023 Accepting new patients
Ess of Crockett, LLC CurrentSince Dec 24, 2023 Accepting new patients
Texas Emergency Group LLC CurrentSince Aug 25, 2024 Accepting new patients
Baylor County Hospital District CurrentSince Dec 7, 2024 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Feb 11, 2022 Accepting new patients
Ess of Nacogdoches LLC CurrentSince Apr 6, 2024 Accepting new patients
Southwest Medical Associates, Inc. CurrentSince Aug 1, 2024 Accepting new patients

Locations

19060 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (480) 631-0675

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1100 E Loop 304
Crockett, TX 75835
Phone (936) 546-3862

2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

1207 S Bailey St
Electra, TX 76360
Phone (940) 495-3981

125 Newman St
Fairfield, TX 75840
Phone (888) 250-2326

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

540 W 15th St
Hereford, TX 79045
Phone (806) 364-2141

821 Jeffee Dr
Kermit, TX 79745
Phone (432) 586-2040

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

4100 Mapleshade Ln
Plano, TX 75093
Phone (917) 216-6285

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

4750 President George Bush Tpke
Sachse, TX 75048
Phone (214) 477-7647

200 Stadium Dr
Seymour, TX 76380
Phone (940) 888-5572

Interoperability endpoints

  • Direct secure messaging: essien.ekong.1@6815.direct.athenahealth.com
  • Direct secure messaging: fmceekong@yourcarecommunity.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1659755122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5373 W ALABAMA ST STE 204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770565923",
            "telephone_number": "888-803-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 1ST ST STE A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941052661",
            "telephone_number": "888-803-3370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 N 30th St",
            "address_2": "CU DEPARTMENT OF FAMILY MEDICINE",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681312128",
            "country_code": "US",
            "telephone_number": "402-280-2010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EKONG",
        "first_name": "ESSIEN",
        "middle_name": "UTIBE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-15",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "7571",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T2157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.