Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EMMANUEL OLAWUSI MBBS
NPI 1720607831
Pediatrics in Sheboygan, WI

Active since April 09, 2020PECOS Enrolled
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081(920) 457-4461 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 20, 2026, May 30, 2023, Apr 9, 2020 (3 updates tracked since 2020).

About Emmanuel Olawusi Mbbs NPPES

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

EMMANUEL OLAWUSI MBBS (NPI 1720607831) is an individual pediatrics provider in Sheboygan, Wisconsin, licensed in Wisconsin (81681) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720607831
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameEMMANUEL OLAWUSICredential: MBBS
Location Address2414 KOHLER MEMORIAL DRSheboygan, WI 53081-3129
Mailing Address2400 S Avenue AYuma, AZ 85364-7127 · (928) 344-2000
Sole ProprietorYes
Enumeration DateApril 9, 2020
Last NPPES UpdateJuly 20, 20263 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
NPI 1720607831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in WI · 81681 Licensed in AZ · 81765
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2414 KOHLER MEMORIAL DR, Sheboygan, WI 53081

Secondary Practice Locations 2

Location 12851 S Avenue B Bldg 25Yuma, AZ 85364-7726 · Phone (928) 819-7000 · Fax (928) 336-1769
Location 24802 10th AveBrooklyn, NY 11219-2916 · Phone (832) 679-4288

Other Identifiers 1

Medicaid1002366008WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Emmanuel Olawusi Mbbs 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 53081 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Physical Therapist
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Optometrist
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Nurse Practitioner
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Nurse Practitioner (Psychiatric/Mental Health)
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Internal Medicine (Pulmonary Disease)
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Registered Nurse (Diabetes Educator)
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Family Medicine
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Radiology (Diagnostic Radiology)
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081

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 Emmanuel Olawusi's NPI number?

The NPI number for Emmanuel Olawusi is 1720607831. It was assigned to this individual provider in the NPPES registry on April 9, 2020.

Where is Emmanuel Olawusi located?

Emmanuel Olawusi practices at 2414 Kohler Memorial Dr, Sheboygan, WI 53081. The listed phone number is (920) 457-4461.

What is Emmanuel Olawusi's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Emmanuel Olawusi enrolled in Medicare?

Yes. Emmanuel Olawusi is registered in the Medicare PECOS enrollment system.

What insurance does Emmanuel Olawusi accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare list Emmanuel Olawusi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emmanuel Olawusi was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.