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OLUSOLA O. SANUSI-AGBABIAKA MD
NPI 1417106477
Emergency Medicine in Brooklyn, NY

Active since September 15, 2008PECOS Enrolled
451 CLARKSON AVE, BROOKLYN, NY 11203(718) 245-3131 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Olusola O. Sanusi-agbabiaka Md NPPES

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

OLUSOLA O. SANUSI-AGBABIAKA MD (NPI 1417106477) is an individual emergency medicine provider in Brooklyn, New York, licensed in New York (302725) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417106477
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameOLUSOLA O. SANUSI-AGBABIAKACredential: MD
Location Address451 CLARKSON AVEBrooklyn, NY 11203-2054
Mailing Address451 Clarkson AveBrooklyn, NY 11203-2054 · (718) 245-3131
Phone(718) 245-3131
Sole ProprietorNo
Enumeration DateSeptember 15, 2008
Last NPPES UpdateNovember 24, 2020
NPPES CertifiedNovember 24, 2020
✔ NPI 1417106477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 302725
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
451 CLARKSON AVE, Brooklyn, NY 11203
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Other Names 1

Professional Name (2)Olusola O. Sanusi-agbabiaka

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olusola O. Sanusi-agbabiaka Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

GEORGETTE JONES LCSW
Social Worker (Clinical)
451 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-3131
SHAYLA NICOLE REID
Obstetrics & Gynecology
451 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (844) 692-4692
DR. NINAD DESAI MD
Pediatrics (Pediatric Hematology-Oncology)
451 CLARKSON AVE, KINGS COUNTY HOSPITAL CENTER; B 6202
BROOKLYN, NY 11203
Kings County (718) 245-4105
MS. BARBARA ANGELA HENDERSON RRT
General Acute Care Hospital
451 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-4526
VIKTORIYA TKACHENKO M.D.
Internal Medicine
451 CLARKSON AVE, BOX 22
BROOKLYN, NY 11203
Kings County (718) 245-2237
LANCE WINSLOW PSYD
Psychologist
451 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-1162
LYDIE KOHLER MCKENZIE MD
Emergency Medicine
451 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-4616
LEELA VENKAT MD
Anesthesiology
451 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-4408

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 Olusola Sanusi-agbabiaka's NPI number?

The NPI number for Olusola Sanusi-agbabiaka is 1417106477. It was assigned to this individual provider in the NPPES registry on September 15, 2008. The provider is also known as Olusola O. Sanusi-Agbabiaka.

Where is Olusola Sanusi-agbabiaka located?

Olusola Sanusi-agbabiaka practices at 451 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 245-3131.

What is Olusola Sanusi-agbabiaka's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Olusola Sanusi-agbabiaka enrolled in Medicare?

Yes. Olusola Sanusi-agbabiaka is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olusola Sanusi-agbabiaka was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.