Individual provider Active NPI

Konyinsola Iyaniwura Dawodu, MD

  • Obstetrics & Gynecology Physician
  • Sacramento, CA
National Provider Identifier
1831655596
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A207735 Issued in CA
Practice address
2725 Capitol Ave Dept 304
Sacramento, CA 95816-6006
Phone
(916) 262-9414
NPI assigned
Feb 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A207735 CA Primary
Military Health Care Provider 171000000X 0101270624 VA
Gynecology Physician 207VG0400X 0101270624 VA

Addresses

Primary practice location

2725 Capitol Ave Dept 304
Sacramento, CA 95816-6006

Mailing address

PO Box 255228
Sacramento, CA 95865-5228
Phone (760) 830-2904

Other practice location 1

1145 Sturgis Rd
Twentynine Palms, CA 92277
Phone (760) 830-2904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260521002439 CA Practitioner - Hospitalist 4082184882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

777 Lowndes Hill Rd BLDG
Suite 1
Greenville, SC 29607-2101

777 Lowndes Hill Rd Building
Suite 1
Greenville, SC 29607-2101

PO Box
Suite 255228
Sacramento, CA 95865

PO Box
Suite 255228
Sacramento, CA 95865-5228

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A207735CAMDObstetrics & Gynecology Physician
0101270624VAMDGynecology Physician

Interoperability endpoints

  • Direct secure messaging: kdawodu2128376@direct.trinity-health.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1831655596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228",
            "telephone_number": "760-830-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 CAPITOL AVE DEPT 304",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958166006",
            "telephone_number": "916-262-9414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1145 Sturgis Rd",
            "address_purpose": "LOCATION",
            "city": "Twentynine Palms",
            "state": "CA",
            "postal_code": "92277",
            "country_code": "US",
            "telephone_number": "760-830-2904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWODU",
        "first_name": "KONYINSOLA",
        "middle_name": "IYANIWURA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A207735",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "VA",
            "license": "0101270624",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "VA",
            "license": "0101270624",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.