Individual provider Active NPI

Onisuru T Okotie, M.D.

  • Urology Physician
  • Safety Harbor, FL
National Provider Identifier
1649461559
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME179394 Issued in FL
Practice address
1840 Mease Dr Ste 300
Safety Harbor, FL 34695-6605
Phone
(727) 785-6011
NPI assigned
Aug 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME179394 FL Primary
Urology Physician 208800000X 36117948 IL

Addresses

Primary practice location

1840 Mease Dr Ste 300
Safety Harbor, FL 34695-6605

Mailing address

12109 County Road 103
Oxford, FL 34484-2951
Phone (352) 504-4623

Other practice location 1

2148 Duck Slough Blvd Ste 102
New Port Richey, FL 34655-5068
Phone (727) 375-1975

Other practice location 2

646 Virginia St # 701
Dunedin, FL 34698-6612
Phone (727) 785-6011

Other identifiers 2

IdentifierTypeStateIssuer
200993810MedicaidIN
M400021858OtherINMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100830001109 IN Practitioner - Urology 1052440211 Reassigns benefits to 1 organization
I20260417000022 FL Practitioner - Urology 1052440211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of California, Geffen School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Associates LLCGroup PAC ID 5799876678, 6 clinicians
Advanced Urology Institute LLCGroup PAC ID 2163653585, 152 clinicians

Practice addresses (Care Compare)

1210 A Medical Arts Blvd
Suite 206
Anderson, IN 46011-3435
Phone (765) 298-4090

1840 Mease Dr
Suite 300
Safety Harbor, FL 34695-6605
Phone (727) 785-6011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME179394FLMDUrology Physician
36117948ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urology Institute LLC Urology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: onisuruokotie@urassoc.medalliesdirect.net

Organizations & group practices 3

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 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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1649461559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12109 COUNTY ROAD 103",
            "city": "OXFORD",
            "state": "FL",
            "postal_code": "344842951",
            "telephone_number": "352-504-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR STE 300",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956605",
            "telephone_number": "727-785-6011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2148 Duck Slough Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346555068",
            "country_code": "US",
            "telephone_number": "727-375-1975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "646 Virginia St # 701",
            "address_purpose": "LOCATION",
            "city": "Dunedin",
            "state": "FL",
            "postal_code": "346986612",
            "country_code": "US",
            "telephone_number": "727-785-6011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKOTIE",
        "first_name": "ONISURU",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME179394",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "36117948",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200993810",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "M400021858",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

Verify at the official NPI Registry.