Individual provider Active NPI

Bennet Koku Togbe, MB CHB

  • Surgery Physician
  • Gloversville, NY
National Provider Identifier
1487983540
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD2022-1343 Issued in NM
Practice address
99 East State Street
Mab Suite 107
Gloversville, NY 12078-0010
Phone
(518) 773-5687
Fax
(518) 773-5232
NPI assigned
Dec 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 268700 NY
Surgery Physician 208600000X MD445883 PA
Surgery Physician 208600000X MD2022-1343 NM Primary

Addresses

Primary practice location

99 East State Street
Mab Suite 107
Gloversville, NY 12078-0010

Mailing address

1600 N Main Ave
Lovington, NM 88260-2813
Phone (575) 396-6611

Other identifiers 1

IdentifierTypeStateIssuer
03624577MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20221213000047 NM Practitioner - General Surgery 7810139466 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Columbia University College of Physicians and Surgeons, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nor-Lea Hospital DistrictGroup PAC ID 2466364534, 58 clinicians

Practice addresses (Care Compare)

1600 N Main
Lovington, NM 88260-2813

1600 N Main Ave
Lovington, NM 88260-2813
Phone 57539666115303

515 E Main St
Hobbs, NM 88240-8119
Phone (575) 397-0560

Hospital & facility affiliations

  • Nor-Lea Hospital District Hospital, Lovington, NM, CCN 321305

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2022-1343NMMDSurgery Physician
268700NYMDSurgery Physician
MD445883PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roswell Clinic Corp CurrentSince Mar 10, 2024 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Aug 30, 2024 Accepting new patients
Roswell Clinic Corp Surgery CurrentSince Mar 10, 2024 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Aug 30, 2024 Accepting new patients
Nor-Lea Hospital District CurrentSince Nov 7, 2022 Accepting new patients
Nathan Littauer Hospital Association Past Accepting new patients
Nathan Littauer Hospital Association Past Accepting new patients

Locations

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

515 E Main St
Hobbs, NM 88240
Phone (575) 397-0560

1600 N Main Ave
Lovington, NM 88260
Phone (575) 396-6611

405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170

601 W Country Club Rd
Ste 101
Roswell, NM 88201
Phone (575) 622-8170

Interoperability endpoints

  • Direct secure messaging: btogbe327632@direct.wvuhsdirect.com
  • Direct secure messaging: btogbe2587551@oc.providencedirect.org

Organizations & group practices 7

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 1

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": "1261094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1487983540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N MAIN AVE",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "882602813",
            "telephone_number": "575-396-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 EAST STATE STREET",
            "address_2": "MAB SUITE 107",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120780010",
            "telephone_number": "518-773-5687",
            "fax_number": "518-773-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOGBE",
        "first_name": "BENNET",
        "middle_name": "KOKU",
        "name_prefix": "Dr.",
        "credential": "MB CHB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-18",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "268700",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD445883",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "MD2022-1343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03624577",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloversville, NY

Sources for this page

Verify at the official NPI Registry.