Active NPI
Rehoboth Medical Group
- Endocrinology, Diabetes & Metabolism Physician
- Coralville, IA
National Provider Identifier
1639095169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 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 DirectoryNPI 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.