Active NPI
Martin Akusoba, M.D.
- Emergency Medicine Physician
- Upper Sandusky, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 67202
- Practice address
- 885 N Sandusky Ave
Upper Sandusky, OH 43351-1031 - Phone
- (419) 294-4991
- NPI assigned
- Jul 5, 2006
- Last updated
- Apr 8, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 67202 | OH | Primary |
| Emergency Medicine Physician | 207P00000X | 192994 | NY |
Addresses
Primary practice location
885 N Sandusky Ave
Upper Sandusky, OH 43351-1031
Mailing address
3378 Wheel Wright Dr
Galena, OH 43021-9748
Phone (740) 965-4893
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0974218 | Medicaid | OH | |
| 1811928302 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 W Lorain St
Oberlin, OH 44074-1026
Phone (440) 775-1211
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.54 of 100
- Quality
- 81.55
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.62 of 100
- Quality
- 71.63
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 192994 | NY | MD | Emergency Medicine Physician |
| 67202 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lorain Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Williams Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Crestline Medical Center, Inc | Current | Accepting new patients | |
| Allen Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| River Valley Physicians, LLC | Current | Accepting new patients | |
| Crestline Medical Center LLC | Past | Accepting new patients | |
| Medcentral Professional Foundation, LLC | Past | Accepting new patients | |
| Ohio Emergency Professionals Inc | Emergency Medicine | Past | Accepting new patients |
Locations
433 W High St
Bryan, OH 43506
Phone (419) 636-1131
1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919
15655 State Route 170
Ste B
East Liverpool, OH 43920
Phone (330) 386-3610
15655 State Route 170
Ste H
East Liverpool, OH 43920
Phone (330) 932-0183
425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200
3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520
909 E Snyder Ave
Montpelier, OH 43543
Phone (419) 485-3154
200 W Lorain St
Oberlin, OH 44074
Phone (440) 775-1211
720 Worthington Woods Blvd
Worthington, OH 43085
Phone (614) 785-4700
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FBJFBA
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Oberlin, OH
- NPI 1841902814
-
- Emergency Medicine Physician
- Lorain, OH
- NPI 1427760487
-
- Multi-Specialty Clinic/Center
- East Liverpool, OH
- NPI 1891756870
-
- Emergency Medicine Physician
- Bryan, OH
- NPI 1609334556
-
- Urgent Care Clinic/Center
- Crestline, OH
- NPI 1649455783
-
dba Urgent Care Physicians Center
- General Practice Physician
- Worthington, OH
- NPI 1699046391
-
- Facial Plastic Surgery Physician
- Mansfield, OH
- NPI 1841476942
-
- Emergency Medicine Physician
- Columbus, OH
- NPI 1982983425
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health Allen Hospital
- Critical Access Hospital
- Oberlin, OH
- NPI 1801825997
-
- General Acute Care Hospital
- Coshocton, OH
- NPI 1013468172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270684800000",
"number": "1811928302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3378 WHEEL WRIGHT DR",
"city": "GALENA",
"state": "OH",
"postal_code": "430219748",
"telephone_number": "740-965-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 N SANDUSKY AVE",
"city": "UPPER SANDUSKY",
"state": "OH",
"postal_code": "433511031",
"telephone_number": "419-294-4991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKUSOBA",
"first_name": "MARTIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2010-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "67202",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "192994",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0974218",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811928302",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Upper Sandusky, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.