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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OLUWATOBI EZEKIEL ODETOLA MBBS
NPI 1104370477
Internal Medicine - Hematology & Oncology in Fargo, ND

Active since August 04, 2016PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2026, Jul 25, 2024, Jun 28, 2021 and 1 more (4 updates tracked since 2018).

About Oluwatobi Ezekiel Odetola Mbbs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLUWATOBI EZEKIEL ODETOLA MBBS (NPI 1104370477) is an individual hematology & oncology provider in Fargo, North Dakota, licensed in North Dakota (PT21039) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with Sanford Bemidji Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1104370477
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameOLUWATOBI EZEKIEL ODETOLACredential: MBBS
Location Address820 4TH ST NFargo, ND 58102-4539
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-9419
Phone(012) 346-1617
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 4, 2016
Last NPPES UpdateJuly 28, 20264 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1104370477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in ND · PT21039✔ Licensed in IL · 125.069415
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125.069415 (IL)
820 4TH ST N, Fargo, ND 58102
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Oluwatobi Ezekiel Odetola Mbbs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951701697
PECOS Enrollment IDI20240820004453
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
141 services101 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
120 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services34 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
35 services35 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
17 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Bemidji Medical Center

Acute Care Hospitals · Bemidji, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240100
Location1300 Anne St NWBemidji, MN 56601 · Beltrami County
Emergency services Birthing friendly

Sanford Thief River Falls Medical Center

Critical Access Hospitals · Thief River Falls, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241381
Location3001 Sanford ParkwayThief River Falls, MN 56701 · Pennington County
Emergency services

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350015
Location300 N 7th StBismarck, ND 58506 · Burleigh County
Emergency services Birthing friendly

Jamestown Regional Medical Center

Critical Access Hospitals · Jamestown, ND
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number351335
Location2422 20th St SWJamestown, ND 58401 · Stutsman County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.12 typical visit price
range $55.75 – $168.12
Typical copayment $42.03 (range $13.93 – $42.03)
Most-billed visit code 99205
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GERALD G GROSS MD
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
PAULINE HOLMAN MS, CGC
Genetic Counselor, MS
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-7634
AMIT PANWALKAR
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
HARITHA REDDY MOPURU MD
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
ISAAK NATHANIEL AILTS MD
Internal Medicine
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
JARRETT FAILING M.D.
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
LISA ANN BRAUN NP
Nurse Practitioner
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
DANIEL ALMQUIST M.D.
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-3100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oluwatobi Odetola's NPI number?

The NPI number for Oluwatobi Odetola is 1104370477. It was assigned to this individual provider in the NPPES registry on August 4, 2016.

Where is Oluwatobi Odetola located?

Oluwatobi Odetola practices at 820 4th St N, Fargo, ND 58102. The listed phone number is (012) 346-1617.

What is Oluwatobi Odetola's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Oluwatobi Odetola enrolled in Medicare?

Yes. Oluwatobi Odetola is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Oluwatobi Odetola accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and Security Health Plan list Oluwatobi Odetola as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Oluwatobi Odetola affiliated with any hospitals?

According to CMS data, Oluwatobi Odetola is affiliated with Sanford Bemidji Medical Center, Sanford Thief River Falls Medical Center, Sanford Medical Center Fargo, Sanford Medical Center Bismarck and Jamestown Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Oluwatobi Odetola was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.