Active NPI
Olayemi Motilola Ikusika, MD
- Emergency Medicine Physician
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- I222660609993
- Practice address
- 113 Holland Ave
Albany, NY 12208-3410 - Phone
- (518) 626-6600
- NPI assigned
- Nov 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | I222660609993 | MD | Primary |
Addresses
Primary practice location
113 Holland Ave
Albany, NY 12208-3410
Mailing address
113 Holland Ave
Albany, NY 12208-3410
Phone (518) 626-6600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MD, DC, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-7000
Hospital & facility affiliations
- Sinai Hospital of Baltimore
- Medstar Montgomery Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I222660609993 | MD | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania Physician Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Mep Observation Services LLC | Emergency Medicine | Current | Accepting new patients |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Mep Observation Services LLC | Current | Accepting new patients | |
| Miami Valley Emergency Specialists, LLC | Emergency Medicine | Current | Accepting new patients |
| Pennsylvania Physician Services, LLC | Emergency Medicine | Current | Accepting new patients |
| MNR Industries LLC | Past | Accepting new patients | |
| Medexpress Urgent Care, PC - Monaca | Emergency Medicine | Past | Accepting new patients |
Locations
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
2400 Lakeview Dr
#150
Beavercreek, OH 45431
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111
575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300
Organizations & group practices 11
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.
-
- Emergency Medicine Physician
- Cumberland, MD
- NPI 1093003550
-
- Emergency Medicine Physician
- Dayton, OH
- NPI 1821189085
-
- Emergency Medicine Physician
- Wilkes Barre, PA
- NPI 1497059802
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
MD
-
- Emergency Medicine Physician
- Rockville, MD
- NPI 1164483558
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- Internal Medicine Physician
- Rockville, MD
- NPI 1740021625
-
- Emergency Medicine Physician
- Scranton, PA
- NPI 1184079105
-
- Urgent Care Clinic/Center
- Monaca, PA
- NPI 1801040092
Emergency Medicine
-
- Urgent Care Clinic/Center
- Mount Airy, MD
- NPI 1073963146
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olney, MD
- NPI 1114922341
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1487325874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483660800000",
"number": "1356522445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 HOLLAND AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083410",
"telephone_number": "518-626-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 HOLLAND AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083410",
"telephone_number": "518-626-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IKUSIKA",
"first_name": "OLAYEMI",
"middle_name": "MOTILOLA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-17",
"last_updated": "2017-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "I222660609993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.