Active NPI
Oluwatobi Dawodu, MD
- Family Medicine Physician
- Kansas City, KS
National Provider Identifier
1396902201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 6942
- Practice address
- 21 N 12TH St
Suite 400
Kansas City, KS 66102-5161 - Phone
- (816) 922-7600
- NPI assigned
- May 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 6942 | KS | Primary |
Addresses
Primary practice location
21 N 12TH St
Suite 400
Kansas City, KS 66102-5161
Mailing address
3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130-2807
Phone (816) 923-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 N 12TH St
Kansas City, KS 66102-5172
Phone (816) 599-5111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6942 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swope Health Services | Current | Accepting new patients | |
| Swope Health Services | Current | Accepting new patients | |
| Swope Health Services | Current | Accepting new patients | |
| Mercy Kansas Communities Inc | Past | Accepting new patients | |
| Swope Health Services | Past | Accepting new patients |
Locations
21 N 12th St
Ste 400
Kansas City, KS 66102
Phone (816) 599-5111
3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500
Interoperability endpoints
- oluwatobi.dawodu@shs.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/FCJABA
- oluwatobi.dawodu.1@14940.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Kansas City, KS
- NPI 1861587511
-
- Federally Qualified Health Center (FQHC)
- Kansas City, KS
- NPI 1013002765
-
- Federally Qualified Health Center (FQHC)
- Kansas City, MO
- NPI 1285404434
-
- Emergency Care Clinic/Center
- Independence, KS
- NPI 1417064957
-
- Federally Qualified Health Center (FQHC)
- Riverside, MO
- NPI 1568557205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1396902201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 DR MARTIN LUTHER KING JR BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641302807",
"telephone_number": "816-923-5800",
"fax_number": "816-922-1070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 N 12TH ST",
"address_2": "SUITE 400",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661025161",
"telephone_number": "816-922-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWODU",
"first_name": "OLUWATOBI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-19",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "6942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.