Individual provider Active NPI

Andres S Enriquez, M.D.

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1982616173
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K7149 Issued in TX
Practice address
836 E Redd Rd
El Paso, TX 79912-7221
Phone
(915) 833-8444
Fax
(915) 833-8767
NPI assigned
Aug 13, 2006
Last updated
Sep 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K7149 TX Primary

Addresses

Primary practice location

836 E Redd Rd
El Paso, TX 79912-7221

Mailing address

553 Canyon Springs
El Paso, TX 79912
Phone (915) 478-2400

Other identifiers 9

IdentifierTypeStateIssuer
0096EROtherTXBLUE CROSS BLUE SHILD
080165782OtherTXMEDICARE RAILROAD
178232700OtherTXOWCP DOL
2032372OtherTXUNITED HEALTH CARE
NM009379OtherNMBLUE CROSS BLUE SHILD NM
MDK7149OtherTXWORKERS COMPENSATION
P2139868OtherOXFORD INSURANCE
628635OtherTXANTHEM BX
8A3420OtherTXBLUE CROSS BLUE SHILD

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
I20111207000487 TX Practitioner - Family Practice 1658546312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso Physical Therapy Specialists LLCGroup PAC ID 1355762774, 106 clinicians
El Paso Therapy Services, Inc.Group PAC ID 4587626106, 99 clinicians

Practice addresses (Care Compare)

6151 Dew Dr
Suite 300
El Paso, TX 79912-3912
Phone (915) 581-9606

836 E Redd Rd
El Paso, TX 79912-7221

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K7149TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andres S Enriquez MD PA Family Medicine CurrentSince Dec 4, 2000 Accepting new patients
Horizon Pediatric Night Clinic Past Accepting new patients

Locations

836 E Redd Rd
El Paso, TX 79912
Phone (915) 833-8444

Interoperability endpoints

  • Direct secure messaging: andresenriquez@franklinmc.allscriptsdirect.net

Organizations & group practices 3

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 2

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1982616173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 CANYON SPRINGS",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79912",
            "telephone_number": "915-478-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 E REDD RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127221",
            "telephone_number": "915-833-8444",
            "fax_number": "915-833-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "ANDRES",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHILD",
            "identifier": "0096ER",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080165782",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP DOL",
            "identifier": "178232700",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2032372",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHILD NM",
            "identifier": "NM009379",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "MDK7149",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD INSURANCE",
            "identifier": "P2139868",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BX",
            "identifier": "628635",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHILD",
            "identifier": "8A3420",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.