KOJO POBEE (MD) – Internal Medicine Physician, NPI 1417931148

KOJO POBEE (MD) is a healthcare provider. based in Dallas, Texas. specializing in INTERNAL MEDICINE, GERIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. K7592 (TX). The NPI Number for KOJO POBEE (MD) is 1417931148

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
KOJO POBEE (MD)
NPI
1417931148
Phone
(469) 323-8529
Address
1910 PACIFIC AVE
Enumeration Date
6 December 2005
Last Update Date
24 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8177454650
Graduation Year
1988 (38 years ago)
PAC ID
8729089669
Group Practice PAC ID
5991806713
Professional Enrollment ID
I20070120000064
Address ID
TX762448900FT4600XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

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Provider Addresses for KOJO POBEE (MD)

  • Pacific Place, 1910, Pacific Avenue, Downtown PID, Dallas, TX, Dallas, Dallas County, Texas, 75201, United States

    STE 15700

    DALLAS, TX 752014245

    Phone: (469) 323-8529

    Type: Mailing

  • 4514, Cole Avenue, Knox, Knox Street PID, Dallas, TX, Dallas, Dallas County, Texas, 75205, United States

    SUITE 625

    DALLAS, TX 752055412

    Phone: (469) 323-8529

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-01-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070120000064IInternal MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,522377$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes551267$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes156151$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes15054$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes14248$0
View full utilization report →

Insurance plans in this area (ZIP 75201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991806713View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
-TX
-TX

Reviews

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Frequently asked questions

What is the registry number for KOJO POBEE (MD)?
The registry entry for KOJO POBEE (MD) shows NPI 1417931148.
Does the public listing show KOJO POBEE (MD) as active?
KOJO POBEE (MD)'s NPI record reflects an active status in NPPES.
What type of care does KOJO POBEE (MD) provide?
KOJO POBEE (MD)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KOJO POBEE (MD)?
KOJO POBEE (MD) is associated with Dallas, Texas in the same public data insurers reference.
Why is information missing for KOJO POBEE (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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