Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Timothy Kokanovich, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477057768

Dr. Timothy Kokanovich, MD is a Hospice/Palliative Care in Fishersville, Virginia. Qualified in 2018, 8 years ago. Practices with Augusta Medical Group, a 416-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and California.

Years since qualifying
8
Licensed in
AZ, CA
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

51 Ivy Ridge Ln
Fishersville, VA 22939-2339
Phone: (540) 245-7262
Fax: (540) 245-7054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 — (480) 342-2000
  • 400 N Pepper Ave, Colton, CA 92324-1801 — (909) 580-1000

Specialties & licences

Hospice and Palliative Medicine (Internal Medicine) Physician (primary) Taxonomy 207RH0002X · Licence 64460 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Internal Medicine Physician Taxonomy 207R00000X · Licence 401 (CA)

Record details

NPI number1477057768
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2018
Last updated in NPPESNovember 26, 2024
Certification dateNovember 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPICE/PALLIATIVE CARE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Augusta Medical Group — 416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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