Individual provider Active NPI

Chiazor Akusoba, M.D.

  • Obstetrics & Gynecology Physician
  • Issaquah, WA
National Provider Identifier
1104261064
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
60736923 Issued in WA
Practice address
751 NE Blakely Dr
Issaquah, WA 98029-6201
Phone
(425) 313-4242
NPI assigned
May 6, 2013
Last updated
Jul 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 60736923 WA Primary

Addresses

Primary practice location

751 NE Blakely Dr
Issaquah, WA 98029-6201

Mailing address

751 NE Blakely Dr
Issaquah, WA 98029-6201
Phone (425) 313-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20170918003238 WA Practitioner - Obstetrics/Gynecology 4789958521 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60736923WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Single Specialty CurrentSince Mar 19, 2018 Accepting new patients
Multicare Health System CurrentSince Mar 19, 2018 Accepting new patients
Multicare Health System Single Specialty Current Accepting new patients
Obstetrix Medical Group of Washington Inc PS Single Specialty CurrentSince Dec 1, 2023 Accepting new patients
Obhg Washington, PC Single Specialty CurrentSince Nov 1, 2025 Accepting new patients
Seattle Nuclear Medicine-Ultrasound Associates Single Specialty Past Accepting new patients

Locations

File 50978
Los Angeles, CA 90074

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

1135 116th Ave NE
Ste 110
Bellevue, WA 98004
Phone (425) 289-3100

900 Pacific Ave
Everett, WA 98201
Phone (425) 258-7900

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

1229 Madison St
Ste 1150
Seattle, WA 98104
Phone (206) 386-2101

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

4215 49th Ave NE
Tacoma, WA 98422
Phone (253) 459-7699

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1104261064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 NE BLAKELY DR",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980296201",
            "telephone_number": "425-313-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 NE BLAKELY DR",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980296201",
            "telephone_number": "425-313-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKUSOBA",
        "first_name": "CHIAZOR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "60736923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

Verify at the official NPI Registry.