NPIMap

Individual provider Active NPI

Edo Kodjo Avochinou, MD

  • Internal Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1295970101
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD2022-0995 Issued in NM
Practice address
1 University of New Mexico
Albuquerque, NM 87131
Phone
(505) 272-6331
NPI assigned
Dec 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0129951 NY
Student in an Organized Health Care Education/Training Program 390200000X NM
Internal Medicine Physician 207R00000X MD2022-0995 NM Primary

Addresses

Primary practice location

1 University of New Mexico
Albuquerque, NM 87131

Mailing address

2400 Unser Blvd SE
Albuquerque, NM 87124-3392
Phone (505) 253-1183

Other practice location 1

1 University Of New Mexico
Albuquerque, NM 87131
Phone (505) 272-6331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20220829001578 NM Practitioner - Internal Medicine 4385782689 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of New Mexico School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cura HealthcareGroup PAC ID 5799143103, 81 clinicians
Daiya Healthcare PLLCGroup PAC ID 6002158615, 80 clinicians
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians

Practice addresses (Care Compare)

Albuquerque, NM 87110
Phone (505) 413-3719

10101 Lagrima de Oro Rd NE
Albuquerque, NM 87111-6022
Phone (206) 823-1004

2100 N Martin Luther King Jr Blvd
Plains Regional Medical Center
Clovis, NM 88101-9412
Phone (575) 769-2141

2400 Unser Blvd SE
Rust Medical Center
Rio Rancho, NM 87124-4740
Phone (505) 253-7878

Hospital & facility affiliations

  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021
  • The Neighborhood in Rio Rancho Nursing home, Rio Rancho, NM, CCN 325130
  • Canyon Transitional Rehabilitation Center, LLC Nursing home, Albuquerque, NM, CCN 325054

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as group
Quality
64.55
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012995NYMDPhysical Therapist
0129951NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Sep 30, 2022 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Sep 30, 2022 Accepting new patients
Rehabilitation Partners CurrentSince Apr 1, 2023 Accepting new patients
Cura Healthcare Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
The Neighborhood in Rio Rancho Past Accepting new patients
Canyon Transitional Rehabilitation Center, LLC Past Accepting new patients
Fiesta Park Wellness & Rehabilitation LLC Past Accepting new patients
Presbyterian Healthcare Services Internal Medicine Past Accepting new patients
Odelia Healthcare LLC Past Accepting new patients

Locations

8226 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 413-3719

4550 Eubank Blvd NE
Ste 107
Albuquerque, NM 87111
Phone (505) 332-1006

2400 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 253-0000

7683 SE 27th St
Mercer Island, WA 98040
Phone (206) 228-8530

Organizations & group practices 10

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

Hospital & facility affiliations 4

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": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1295970101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 UNSER BLVD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871243392",
            "telephone_number": "505-253-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87131",
            "telephone_number": "505-272-6331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 University Of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "87131",
            "country_code": "US",
            "telephone_number": "505-272-6331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVOCHINOU",
        "first_name": "EDO",
        "middle_name": "KODJO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-05",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "0129951",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2022-0995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.