Individual provider Active NPI

Olaoluwa O Okusaga, MD

  • Psychiatry Physician
  • Washington, DC
National Provider Identifier
1629353339
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD039812 Issued in DC
Practice address
35 K St NE
Washington, DC 20002-4216
Phone
(202) 407-2166
NPI assigned
Oct 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD039812 DC Primary

Addresses

Primary practice location

35 K St NE
Washington, DC 20002-4216

Mailing address

1100 Alabama Avenue SE
St Elizabeths Hospital Psychiatry Residency Program
Washington, DC 20032
Phone (202) 213-2578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120911000738 TX Practitioner - Psychiatry 2163670472 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

1977 Butler Boulevard
400 BCM Physicians
Houston, TX 77030-4101
Phone (713) 798-4857

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD039812DCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aqeel Hashmi MD PA CurrentSince Sep 1, 2021 Accepting new patients
Ut Physicians Psychiatry CurrentSince Jul 29, 2012 Accepting new patients
Ut Physicians CurrentSince Jul 29, 2012 Accepting new patients
Baylor College of Medicine Psychiatry CurrentSince May 22, 2018 Accepting new patients
Baylor College of Medicine CurrentSince May 22, 2018 Accepting new patients

Locations

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

1977 Butler Blvd
Ste E4
Houston, TX 77030
Phone (713) 798-4857

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6902 S Peek Rd
Richmond, TX 77407
Phone (832) 390-0900

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1629353339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ALABAMA AVENUE SE",
            "address_2": "ST ELIZABETHS HOSPITAL PSYCHIATRY RESIDENCY PROGRAM",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20032",
            "telephone_number": "202-213-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 K ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024216",
            "telephone_number": "202-407-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUSAGA",
        "first_name": "OLAOLUWA",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD039812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.