Individual provider Active NPI

Nepistance Shoko, M.D.

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1780861880
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R0655 Issued in TX
Practice address
15820 Oak Pointe Dr
Fort Worth, TX 76177-1563
Phone
(708) 977-0777
NPI assigned
Jan 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.118851 IL
Physical Medicine & Rehabilitation Physician 208100000X R0655 TX
Internal Medicine Physician 207R00000X R0655 TX Primary

Addresses

Primary practice location

15820 Oak Pointe Dr
Fort Worth, TX 76177-1563

Mailing address

15820 Oak Pointe Dr
Fort Worth, TX 76177-1563
Phone (708) 977-0777

Other names 1

  • Dr. Nepistance Chinomona Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160510002134 TX Practitioner - Internal Medicine 3870623986 Reassigns benefits to 2 organizations
I20190327000764 NV Practitioner - Internal Medicine 3870623986 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.118851ILMDInternal Medicine Physician
R0655TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Best Choice Health & Wellness, LLC Internal Medicine CurrentSince Jan 12, 2025 Accepting new patients
Cherokee Nation Current Accepting new patients
Anadarko Indian Health Center CurrentSince Sep 17, 2018 Accepting new patients
Cherokee Nation Current Accepting new patients
Apexcare Solutions, LLC Internal Medicine CurrentSince Jan 12, 2025 Accepting new patients
Cherokee Nation CurrentSince Mar 26, 2016 Accepting new patients
Cherokee Nation CurrentSince Mar 26, 2016 Accepting new patients
Southwest Medical Associates, Inc Internal Medicine CurrentSince Feb 15, 2019 Accepting new patients
Lawton Indian Hospital PastSince Sep 17, 2018 Accepting new patients

Locations

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

4475 S Eastern Ave
Las Vegas, NV 89119
Phone (702) 669-5811

201 E Parker McKenzie Dr
Anadarko, OK 73005
Phone (405) 247-7900

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1780861880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15820 OAK POINTE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761771563",
            "telephone_number": "708-977-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15820 OAK POINTE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761771563",
            "telephone_number": "708-977-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOKO",
        "first_name": "NEPISTANCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.118851",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "R0655",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R0655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEPISTANCE",
            "last_name": "CHINOMONA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.