Individual provider Active NPI

Olutosin Okusaga

  • Anesthesiologist Assistant
  • Washington, DC
National Provider Identifier
1174901987
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
AA635 Issued in FL
Practice address
110 Irving St NW
G226
Washington, DC 20010-3017
Phone
(202) 877-7500
NPI assigned
May 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X AA635 FL Primary

Addresses

Primary practice location

110 Irving St NW
G226
Washington, DC 20010-3017

Mailing address

110 Irving St NW
G226
Washington, DC 20010-3017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, GA, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20151109001570 DC Practitioner - Anesthesiology Assistant 5890005565 Reassigns benefits to 1 organization
I20170720002761 GA Practitioner - Anesthesiology Assistant 5890005565 Reassigns benefits to 1 organization
I20210420001478 FL Practitioner - Anesthesiology Assistant 5890005565 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brevard Physician Associates PLLCGroup PAC ID 1850535048, 221 clinicians
US Anesthesia Partners of Florida IncGroup PAC ID 0345143152, 1,111 clinicians

Practice addresses (Care Compare)

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000

258 S Chickasaw TRL
Orlando, FL 32825-3501
Phone (407) 303-6865

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600

7727 Lake Underhill Rd
Orlando, FL 32822-8224
Phone (407) 303-8110

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiologists of Greater Orlando Inc Anesthesiologist Assistant CurrentSince Jul 1, 2021 Accepting new patients
Anesthesiologists of Greater Orlando Inc CurrentSince Jul 1, 2021 Accepting new patients
Sheridan Healthcorp Inc Current Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Brevard Physician Associates, PLLC Anesthesiologist Assistant CurrentSince Mar 2, 2025 Accepting new patients
Washington Hospital Center Corp CurrentSince Aug 2, 2015 Accepting new patients
Anesthesia Consultants of Savannah, PC CurrentSince Jun 12, 2017 Accepting new patients
Ams National LLC CurrentSince Mar 15, 2024 Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiologist Assistant CurrentSince Jun 25, 2025 Accepting new patients
American Anesthesiology Services of Florida, Inc. CurrentSince Jan 16, 2021 Accepting new patients
Washington Hospital Center Corp CurrentSince Aug 2, 2015 Accepting new patients
Anesthesia Associates MD PA CurrentSince Mar 15, 2021 Accepting new patients
Sheridan Healthcorp Inc CurrentSince Mar 1, 2025 Accepting new patients
Washington Hospital Center Corp Current Accepting new patients
Orlando Anesthesia Consultants PA CurrentSince Oct 1, 2024 Accepting new patients
Providence Health Services, Inc Anesthesiologist Assistant Past Accepting new patients

Locations (25 of 28)

110 Irving St NW
#G226
Washington, DC 20010
Phone (202) 877-7500

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931
Phone (321) 799-7111

3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

380 Rinehart Rd
Lake Mary, FL 32746
Phone (321) 842-0550

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

201 Mohawk Rd
Minneola, FL 34715
Phone (973) 979-9079

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500

88 W Kaley St
Orlando, FL 32806
Phone (407) 423-0573

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

22 Underwood St
Orlando, FL 32806
Phone (321) 841-6263

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

Organizations & group practices 16

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 16

Hospital & facility affiliations 5

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": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1174901987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 IRVING ST NW",
            "address_2": "G226",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 IRVING ST NW",
            "address_2": "G226",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103017",
            "telephone_number": "202-877-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUSAGA",
        "first_name": "OLUTOSIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-13",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "FL",
            "license": "AA635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.