Olutosin Jamil Akanni, MD
Individual provider Active NPI Anesthesiology Physician · New York, NY
NPI 1225525397 · NPPES record last updated Jun 14, 2022
Key facts
- NPI
- 1225525397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 316817-01 (NY)
- Practice address
- 630 W 168TH St
New York, NY 10032-3725 - Phone
- (212) 305-2500
- NPI assigned
- Apr 15, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North American Partners in Anesthesia LLP
Icahn School of Medicine at Mount Sinai
Practice addresses (Care Compare)
121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-8000
310 E 14 St
New York, NY 10003-4201
Phone (212) 979-4000
Hospital & facility affiliations
- Ny Eye and Ear Infirmary of Mount Sinai
- Brooklyn Hospital Center - Downtown Campus
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220829003410 | NY | Practitioner - Anesthesiology | 4789922337 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 316817-01 | NY | MD | Anesthesiology Physician |
Practice roles (2 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Anesthesiology | Current |
Accepting new patients |
| North American Partners in Anesthesia LLP | Anesthesiology | Current |
Accepting new patients |
Locations
7 Southwoods Blvd
Ste 4
Albany, NY 12211
121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
310 E 14th St
New York, NY 10003
Phone (212) 979-4000
16 W 25th St
New York, NY 10010
Phone (212) 516-8211
16 W 25th St
#2
New York, NY 10010
Phone (212) 516-8211
300 Community Dr
Plandome, NY 11030
45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 316817-01 | NY | Yes |
Addresses
Primary practice location
630 W 168TH St
New York, NY 10032-3725
Mailing address
250 W 100TH St Apt 814
New York, NY 10025-5325
Phone (804) 385-9105
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All providers in New York, NY · Anesthesiology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.