1. Home
  2. Directory
  3. North Dakota
  4. Dickinson
  5. Internal Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ADOKOLE JOHN PAUL OTANWA MD/MPH
NPI 1144962614
Internal Medicine in Dickinson, ND

Active since April 13, 2022PECOS Enrolled
2615 FAIRWAY ST, DICKINSON, ND 58601(701) 456-6000 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 26, 2026, Apr 13, 2022 (2 updates tracked since 2022).

About Adokole John Paul Otanwa Md/mph NPPES

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

ADOKOLE JOHN PAUL OTANWA MD/MPH (NPI 1144962614) is an individual internal medicine provider in Dickinson, North Dakota, licensed in North Dakota (24540) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144962614
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameADOKOLE JOHN PAUL OTANWACredential: MD/MPH
Location Address2615 FAIRWAY STDickinson, ND 58601-2590
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-9419
Phone(701) 456-6000
Sole ProprietorNo
Enumeration DateApril 13, 2022
Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1144962614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ND · 24540
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2615 FAIRWAY ST, Dickinson, ND 58601
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adokole John Paul Otanwa Md/mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58601 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
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.

MRS. YESENIA PEREZ M.A. CCC-SLP
Speech-Language Pathologist
2615 FAIRWAY ST
DICKINSON, ND 58601
Stark County (701) 456-6000
CLINIC PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
2615 FAIRWAY ST
DICKINSON, ND 58601
Stark County (701) 483-4401
LAUREN O'CONNELL OTD, OTR/L
Occupational Therapist
2615 FAIRWAY ST
DICKINSON, ND 58601
Stark County (701) 456-6271
LARISSA ANN KOHLER PA-C
Physician Assistant
2615 FAIRWAY ST
DICKINSON, ND 58601
Stark County (701) 456-6000
CHANDRA JO URLACHER FNP-C
Nurse Practitioner (Family)
2615 FAIRWAY ST
DICKINSON, ND 58601
Stark County (701) 456-6000
KELSEY VIOLET LUCE PA-C
Physician Assistant
2615 FAIRWAY ST
DICKINSON, ND 58601
Stark County (701) 456-6000
JAMIE WEHRUNG RRT, CPFT, AE-C
Respiratory Therapist, Registered
2615 FAIRWAY ST
DICKINSON, ND 58601
Stark County (701) 456-6000
APRIL BERGER FNP-C
Nurse Practitioner (Family)
2615 FAIRWAY ST
DICKINSON, ND 58601
Stark County (701) 456-6000

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 Adokole Otanwa's NPI number?

The NPI number for Adokole Otanwa is 1144962614. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Where is Adokole Otanwa located?

Adokole Otanwa practices at 2615 Fairway St, Dickinson, ND 58601. The listed phone number is (701) 456-6000.

What is Adokole Otanwa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Adokole Otanwa enrolled in Medicare?

Yes. Adokole Otanwa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adokole Otanwa was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.