Organization Active NPI

Rehoboth Medical Group

  • Endocrinology, Diabetes & Metabolism Physician
  • Coralville, IA
National Provider Identifier
1639095169
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
REHOBOTH MEDICAL GROUP
Practice address
671 Highland Park Ave
Coralville, IA 52241-3366
Phone
(919) 255-2670
Fax
(919) 255-2670
NPI assigned
Jun 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ayotunde O Dokun, MD PHD
Title
President/Ceo
Phone
(919) 255-2670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

671 Highland Park Ave
Coralville, IA 52241-3366

Mailing address

671 Highland Park Ave
Coralville, IA 52241-3366
Phone (919) 255-2670

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1639095169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 HIGHLAND PARK AVE",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522413366",
            "telephone_number": "919-255-2670",
            "fax_number": "919-255-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 HIGHLAND PARK AVE",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522413366",
            "telephone_number": "919-255-2670",
            "fax_number": "919-255-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHOBOTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "DOKUN",
        "authorized_official_first_name": "AYOTUNDE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "919-255-2670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.