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

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

Q: 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.

Q: What is Afeez Adisa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Afeez Adisa was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

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 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2026, Jul 14, 2026, Dec 27, 2021 and 1 more (4 updates tracked since 2020).

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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 and maintains a secondary practice location in Cleveland.

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

Phone(701) 418-8860

Sole ProprietorNo

Enumeration DateOctober 10, 2020

Last NPPES UpdateAugust 3, 20264 updates tracked since enumeration

NPPES CertifiedAugust 3, 2026

✔ NPI 1245838473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

2305 37TH AVE SW, Minot, ND 58701

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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Afeez Kolawole Adisa Md 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.

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.

MYCA L KLEESPIE CRNA

Nurse Anesthetist, Certified Registered