Tobore Godwin Kokoricha, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R1567 Issued in TX

Practice address

2001 W 21St St
Clovis, NM 88101-4086

Phone

(575) 935-1625

Fax

(575) 935-1626

NPI assigned

Aug 31, 2005

Last updated

Nov 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, LA2 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

Specialty

Internal Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Calcasieu Cameron Hospital Medicine Group LLCGroup PAC ID 1557688421, 66 clinicians

Hni Medical ServicesGroup PAC ID 6406028810, 35 clinicians

Emergency Medicine Services of TX, PLLCGroup PAC ID 3375909351, 374 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Regional Medical Center Hospital, Brownsville, TX, CCN 450662
• Rapides Regional Medical Center Hospital, Alexandria, LA, CCN 190026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Calcasieu Cameron Hospital Medicine Group LLC

  • Hospitalist Physician
  • Sulphur, LA
  • NPI 1659764967
  Medicare reassignment Care Compare group NPD
• Emergency Medicine Services of TX, PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1245938729
  Medicare reassignment Care Compare group NPD
• Hni Medical Services

  • Hospitalist Physician
  • Austin, TX
  • NPI 1366735169

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Cogent Healthcare of Texas, PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1992722953
  Medicare reassignment NPD
• Hni Physician Services of Texas, Inc

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1538729744
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Texas, PLLC

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1629307095
  Medicare reassignment
• Columbia Valley Healthcare System, L.P.

  dba Valley Regional Medical Center

  • General Acute Care Hospital
  • Brownsville, TX
  • NPI 1043267701
  NPD (past)
• Doctors Hospital of Laredo

  • General Acute Care Hospital
  • Laredo, TX
  • NPI 1396731105
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Valley Healthcare System, L.P.

  dba Valley Regional Medical Center

  • General Acute Care Hospital
  • Brownsville, TX
  • NPI 1043267701
  Care Compare affiliation
• Rapides Healthcare System, L.L.C.

  dba Rapides Regional Medical Center

  • General Acute Care Hospital
  • Alexandria, LA
  • NPI 1477500015
  Care Compare affiliation
• Rapides Healthcare System, LLC

  dba HP Long Urgent Care-Pineville

  • Multi-Specialty Clinic/Center
  • Pineville, LA
  • NPI 1083031413

  Hospital

  Care Compare affiliation
• Rapides Healthcare System, LLC

  dba HP Long Urgent Care Clinic-Alexandria

  • Urgent Care Clinic/Center
  • Alexandria, LA
  • NPI 1477970168

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1962496307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W 21ST ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014086",
            "telephone_number": "575-935-1625",
            "fax_number": "575-935-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W 21ST ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014086",
            "telephone_number": "575-935-1625",
            "fax_number": "575-935-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKORICHA",
        "first_name": "TOBORE",
        "middle_name": "GODWIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT1768748",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD20040599",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R1567",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "R1567",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72821761",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick T Klingler, SOLE PROPRIETOR
• Carla Knight
• Jean Marie Knight
• Tahnia Knipp, FNP-BC
• Janna Shaye Kohler, RN-BSN
• Cortnee Lynn Krallman, CNP
• Tierny C Krasowsky, BT
• Dee Ann Ann Kreutzer, MS LMHC ATR
• Lorena A Kroeger, FNP-BC
• Zoe Rose Krona

• Internal Medicine Physician in Clovis, NM
• Providers in Clovis, NM by specialty
• Internal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.

Verify at the official NPI Registry.