Active NPI
Bennet Koku Togbe, MB CHB
- Surgery Physician
- Gloversville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD2022-1343
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03624577 | Medicaid | NY |
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
Enrollment records 1
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
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2022-1343 | NM | MD | Surgery Physician |
| 268700 | NY | MD | Surgery Physician |
| MD445883 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roswell Clinic Corp | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Roswell Clinic Corp | Surgery | Current | Accepting new patients |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Nor-Lea Hospital District | Current | 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
- btogbe327632@direct.wvuhsdirect.com
- 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.
-
- Critical Access Hospital
- Lovington, NM
- NPI 1881630036
-
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
- Durable Medical Equipment & Medical Supplies
- Roswell, NM
- NPI 1396958633
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
-
- Skilled Nursing Facility
- Gloversville, NY
- NPI 1073541850
-
- Rural Acute Care Hospital
- Gloversville, NY
- NPI 1336145168
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Lovington, NM
- NPI 1881630036
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.