DR. AFEEZ KOLAWOLE ADISA MD
NPI 1245838473
Pediatrics - Neonatal-Perinatal Medicine in Minot, ND

Active since October 10, 2020PECOS Enrolled
2305 37TH AVE SW, MINOT, ND 58701(701) 418-8860 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 26, 2026, Aug 3, 2026, Jul 14, 2026 and 2 more (5 updates tracked since 2020).

About Dr. Afeez Kolawole Adisa Md NPPES

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

DR. AFEEZ KOLAWOLE ADISA MD (NPI 1245838473) is an individual neonatal-perinatal medicine provider in Minot, North Dakota, licensed in North Dakota (21756) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cleveland, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1245838473
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. AFEEZ KOLAWOLE ADISACredential: MD
Location Address2305 37TH AVE SWMinot, ND 58701-7669
Mailing AddressPo Box 5010Minot, ND 58702-5010 · (701) 857-3517
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 10, 2020
Last NPPES UpdateAugust 26, 20265 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1245838473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in ND · 21756✔ Licensed in OH · 57.248734
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 21756 (ND)
2305 37TH AVE SW, Minot, ND 58701

Secondary Practice Location 1

Location 12500 Metrohealth DrCleveland, OH 44109-1900 · Phone (216) 778-7800

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Afeez Kolawole Adisa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163842840
PECOS Enrollment IDI20260728005114
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.

Medicare Billing Reassignment

Medicare enrollment records show Afeez Adisa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Multi-Specialty
2305 37TH AVE SW
Minot, ND 58701
  • Reassigned Medicare billing, North Dakota enrollment
  • 339 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Nurse Anesthetist, Certified Registered
2305 37TH AVE SW
MINOT, ND 58701
Hospitalist
2305 37TH AVE SW
MINOT, ND 58701
Internal Medicine (Cardiovascular Disease)
2305 37TH AVE SW
MINOT, ND 58701
Nurse Practitioner (Family)
2305 37TH AVE SW
MINOT, ND 58701
Podiatrist (Foot & Ankle Surgery)
2305 37TH AVE SW
MINOT, ND 58701
Physician Assistant (Medical)
2305 37TH AVE SW
MINOT, ND 58701
Ambulance (Air Transport)
2305 37TH AVE SW
MINOT, ND 58701
Nurse Anesthetist, Certified Registered
2305 37TH AVE SW
MINOT, ND 58701

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 Afeez Adisa's NPI number?

The NPI number for Afeez Adisa is 1245838473. It was assigned to this individual provider in the NPPES registry on October 10, 2020.

Where is Afeez Adisa located?

Afeez Adisa practices at 2305 37th Ave SW, Minot, ND 58701. The listed phone number is (701) 418-8860.

What is Afeez Adisa's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Afeez Adisa enrolled in Medicare?

Yes. Afeez Adisa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Afeez Adisa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Afeez Adisa reassigns Medicare benefits to Trinity Health (Minot, ND). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Afeez Adisa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Afeez Adisa accept?

Health plans from Blue Cross Blue Shield of North Dakota list Afeez Adisa 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.

When was this NPI record last updated?

The NPPES record for Afeez Adisa 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 2 months 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.