TIMOTHY OLUKANNI
NPI 1033801832
Anesthesiologist Assistant in Spartanburg, SC

Active since May 22, 2023Accepts Medicare Assignment
101 E WOOD ST, SPARTANBURG, SC 29303(864) 560-6952 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2026, Jul 28, 2023, May 22, 2023 (3 updates tracked since 2023).

About Timothy Olukanni NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY OLUKANNI (NPI 1033801832) is an individual anesthesiologist assistant in Spartanburg, South Carolina, licensed in South Carolina (171) and active in the NPI registry since May 2023. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1033801832
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameTIMOTHY OLUKANNI
Location Address101 E WOOD STSpartanburg, SC 29303-3040
Mailing Address101 E Wood StSpartanburg, SC 29303-3040 · (864) 560-6952
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 22, 2023
Last NPPES UpdateAugust 12, 20263 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1033801832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Licenses✔ Licensed in SC · 171✔ Licensed in DC · AA2000047✔ Licensed in VA · 789789819
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
101 E WOOD ST, Spartanburg, SC 29303

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy Olukanni is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274994306
PECOS Enrollment IDI20230804001462

Medicare Billing Reassignments

3

Medicare enrollment records show Timothy Olukanni reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pulmonary Disease
101 E WOOD ST
Spartanburg, SC 29303
  • Reassigned Medicare billing, South Carolina enrollment
  • 814 clinicians in this Medicare group
Anesthesiology
2150 PENNSYLVANIA AVE NW, SUITE 10-409A
Washington, DC 20037
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,275 clinicians in this Medicare group
Anesthesiology
2002 MEDICAL PKWY STE 330
Annapolis, MD 21401
  • Reassigned Medicare billing, District of Columbia enrollment
  • 391 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Nurse Anesthetist, Certified Registered
101 E WOOD ST
SPARTANBURG, SC 29303
Student in an Organized Health Care Education/Training Program
101 E WOOD ST
SPARTANBURG, SC 29303
Surgery
101 E WOOD ST
SPARTANBURG, SC 29303
Radiology (Radiation Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Internal Medicine (Hematology & Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Internal Medicine
101 E WOOD ST, SUITE 401
SPARTANBURG, SC 29303
Radiology (Diagnostic Radiology)
101 E WOOD ST
SPARTANBURG, SC 29303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Olukanni's NPI number?

The NPI number for Timothy Olukanni is 1033801832. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Where is Timothy Olukanni located?

Timothy Olukanni practices at 101 E Wood St, Spartanburg, SC 29303. The listed phone number is (864) 560-6952.

What is Timothy Olukanni's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Timothy Olukanni enrolled in Medicare?

Yes. Timothy Olukanni is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Timothy Olukanni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Olukanni reassigns Medicare benefits to 3 organizations: Spartanburg Medical Center (Spartanburg, SC), Medical Faculty Associates, Inc (Washington, DC) and Anesthesia Company, LLC (Annapolis, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Olukanni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Timothy Olukanni was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.