Individual provider Active NPI

Srikanth Rao Dakoji, M.D.,PH.D.

  • Family Medicine Physician
  • Kotzebue, AK
National Provider Identifier
1689932436
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
58322 Issued in MN
Practice address
479 Mission St
Apt C8
Kotzebue, AK 99752
Phone
(415) 283-6925
NPI assigned
Apr 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 58322 MN Primary
Family Medicine Physician 207Q00000X A133618 CA

Addresses

Primary practice location

479 Mission St
Apt C8
Kotzebue, AK 99752

Mailing address

435 5TH Ave
Kotzebue, AK 99752
Phone (907) 442-7148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TX, CA, WI4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20141203000765 MN Practitioner - Family PracticePractitioner - Other (Physician)Practitioner - Emergency Medicine 7719209766 Reassigns benefits to 15 organizations
I20151020002377 TX Practitioner - Family PracticePractitioner - Emergency Medicine 7719209766 Reassigns benefits to 1 organization
I20161228002089 CA Practitioner - Family PracticePractitioner - Emergency Medicine 7719209766 Reassigns benefits to 1 organization
I20241024001895 WI Practitioner - Emergency MedicinePractitioner - Family Practice 7719209766 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alomere HealthGroup PAC ID 9931690047, 123 clinicians
Aspirus Stanley Hospital and Clinics IncGroup PAC ID 8325957095, shared by 6 NPIs, 34 clinicians

Practice addresses (Care Compare)

111 17TH Ave E
Alexandria, MN 56308-5273
Phone (320) 762-1511

1120 Pine St
Stanley, WI 54768-1297
Phone (715) 644-5530

4300 Marketpointe Dr
Suite 100
Bloomington, MN 55435-5435
Phone (952) 835-9880

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A133618CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services CurrentSince Jan 4, 2015 Accepting new patients
Fairview Clinics CurrentSince Jan 4, 2015 Accepting new patients
Centracare Health System - Sauk Centre Current Accepting new patients
Emergency Physicians Professional Association Current Accepting new patients
Douglas County Hospital Current Accepting new patients
Fairview Health Services Current Accepting new patients
Unity Family Healthcare CurrentSince May 6, 2022 Accepting new patients
Emergency Physicians Professional Association CurrentSince Jul 1, 2023 Accepting new patients
Centracare Health System - Melrose CurrentSince Nov 1, 2014 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc. Family Medicine CurrentSince Oct 21, 2024 Accepting new patients
West Central Pathology and Laboratory Medicine PA Current Accepting new patients
Fairview Clinics CurrentSince Jan 4, 2015 Accepting new patients
Centracare Health System-NR LLC CurrentSince Aug 1, 2015 Accepting new patients
Centracare Health System-NR LLC Current Accepting new patients
Maniilaq Association CurrentSince Aug 25, 2015 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc CurrentSince Oct 21, 2024 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc. CurrentSince Oct 21, 2024 Accepting new patients
Centracare Health System - Long Prairie CurrentSince Aug 1, 2018 Accepting new patients
Centracare Health System - Sauk Centre CurrentSince Aug 1, 2023 Accepting new patients
Alomere Health CurrentSince Jan 1, 2026 Accepting new patients
Avera Marshall Current Accepting new patients
Unity Family Healthcare Current Accepting new patients
Alomere Health CurrentSince Jan 1, 2026 Accepting new patients
Avera Marshall CurrentSince Dec 24, 2021 Accepting new patients
Fairview Health Services Current Accepting new patients
Centracare Health System - Sauk Centre CurrentSince Aug 1, 2023 Accepting new patients
Avera Marshall CurrentSince Dec 24, 2021 Accepting new patients
Fairview Clinics CurrentSince Jan 4, 2015 Accepting new patients
Park Nicollet Methodist Hospital CurrentSince Feb 2, 2015 Accepting new patients
Park Nicollet Clinic Family Medicine Current Accepting new patients
Fairview Clinics Current Accepting new patients
Park Nicollet Clinic Family Medicine CurrentSince Feb 2, 2015 Accepting new patients
Emergency Physicians Professional Association CurrentSince Jul 1, 2023 Accepting new patients
Centracare Health System - Melrose CurrentSince Nov 1, 2014 Accepting new patients
North Pacific Cardiology Medical CurrentSince Jul 29, 2023 Accepting new patients
Unity Family Healthcare CurrentSince May 6, 2022 Accepting new patients
Centracare Health System-NR LLC CurrentSince Aug 1, 2015 Accepting new patients
Maniilaq Association CurrentSince Aug 25, 2015 Accepting new patients

Locations

3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621

2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

29980 Network Pl
Chicago, IL 60673

7892 Solutions Ctr
Chicago, IL 60677

111 17th Ave E
Alexandria, MN 56308
Phone (320) 762-1511

111 17th Ave E
Ste 101
Alexandria, MN 56308
Phone (320) 762-1144

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

811 2nd St SE
Little Falls, MN 56345
Phone (320) 631-7000

1108 1st St SE
Little Falls, MN 56345
Phone (320) 632-3671

815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441

50 Centracare Dr
Long Prairie, MN 56347
Phone (320) 732-2131

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

525 Main St W
Melrose, MN 56352
Phone (320) 256-4228

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

4300 Marketpointe Dr
Ste 100
Minneapolis, MN 55435
Phone (952) 767-4574

1013 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2303

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

425 Elm St N
Sauk Centre, MN 56378
Phone (320) 352-2221

301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120

1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530

Interoperability endpoints

  • Direct secure messaging: sdakoji275786@direct.centracare.com

Organizations & group practices 40

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.

View all 40

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1689932436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 5TH AVE",
            "city": "KOTZEBUE",
            "state": "AK",
            "postal_code": "99752",
            "telephone_number": "907-442-7148",
            "fax_number": "907-442-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 MISSION ST",
            "address_2": "APT C8",
            "city": "KOTZEBUE",
            "state": "AK",
            "postal_code": "99752",
            "telephone_number": "415-283-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAKOJI",
        "first_name": "SRIKANTH",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "M.D.,PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "58322",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A133618",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kotzebue, AK

Sources for this page

Verify at the official NPI Registry.