OLUWATOBI GANIU LASISI MD
NPI 1790429686
Family Medicine in Fairfax, VA

Active since April 26, 2022PECOS EnrolledAccepts Medicare Assignment
3650 JOSEPH SIEWICK DR STE 400, FAIRFAX, VA 22033(703) 391-2020 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 10, 2025, Dec 9, 2024, Apr 26, 2022 (3 updates tracked since 2022).

About Oluwatobi Ganiu Lasisi Md NPPES

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

OLUWATOBI GANIU LASISI MD (NPI 1790429686) is an individual family medicine provider in Fairfax, Virginia, licensed in Virginia (0101284975) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1790429686
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameOLUWATOBI GANIU LASISICredential: MD
Location Address3650 JOSEPH SIEWICK DR STE 400Fairfax, VA 22033-1715
Mailing AddressHoward University Hospital 2041 Georgia Avenue NwWashington, DC 20060-0001
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 26, 2022
Last NPPES UpdateJuly 28, 20253 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
✔ NPI 1790429686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in VA · 0101284975✔ Licensed in MD · D0101924
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3650 JOSEPH SIEWICK DR STE 400, Fairfax, VA 22033

Secondary Practice Locations 2

Location 11110 Annapolis RdOdenton, MD 21113-1602 · Phone (443) 351-3917
Location 23650 Joseph Siewick Dr Ste 203Fairfax, VA 22033-1712 · Phone (703) 391-2020

Accepted Insurance

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

Oluwatobi Ganiu Lasisi Md 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 ID4587190525
PECOS Enrollment IDI20241213001238
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Oluwatobi Lasisi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3914 CENTREVILLE RD, SUITE 250
Chantilly, VA 20151
  • Reassigned Medicare billing, District of Columbia enrollment
  • 379 clinicians in this Medicare group
Family Medicine
8206 GEORGIA AVE
Silver Spring, MD 20910
  • Reassigned Medicare billing, District of Columbia enrollment
  • 184 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22033 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Family Medicine
3650 JOSEPH SIEWICK DR STE 400
FAIRFAX, VA 22033
Family Medicine
3650 JOSEPH SIEWICK DR STE 400
FAIRFAX, VA 22033
Family Medicine
3650 JOSEPH SIEWICK DR STE 400
FAIRFAX, VA 22033
Family Medicine
3650 JOSEPH SIEWICK DR STE 400
FAIRFAX, VA 22033
Family Medicine
3650 JOSEPH SIEWICK DR STE 400
FAIRFAX, VA 22033
Physical Therapist
3650 JOSEPH SIEWICK DR STE 400
FAIRFAX, VA 22033
Family Medicine
3650 JOSEPH SIEWICK DR STE 400
FAIRFAX, VA 22033
Family Medicine
3650 JOSEPH SIEWICK DR STE 400
FAIRFAX, VA 22033

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 Oluwatobi Lasisi's NPI number?

The NPI number for Oluwatobi Lasisi is 1790429686. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Where is Oluwatobi Lasisi located?

Oluwatobi Lasisi practices at 3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033. The listed phone number is (703) 391-2020.

What is Oluwatobi Lasisi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Oluwatobi Lasisi enrolled in Medicare?

Yes. Oluwatobi Lasisi 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 Oluwatobi Lasisi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Oluwatobi Lasisi reassigns Medicare benefits to 2 organizations: Inova Physician Partners, LLC (Chantilly, VA) and Patient First Maryland Medical Group PLLC (Silver Spring, 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 Oluwatobi Lasisi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Oluwatobi Lasisi accept?

Health plans from Oscar Health list Oluwatobi Lasisi 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 Oluwatobi Lasisi was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.