Doctor profile · Federal record

Dr. Ichiro Otsu, MD

Anesthesiology Physician · Renton, WA

  • NPI 1053422378
  • 20 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
400 S 43Rd St
Renton, WA 980555714
(425) 353-3788
fax (425) 353-8041
Mailing address
Po Box 84571
Seattle, WA 981245871

Credentials & registration

NPPES · NUCC
NPI registered
August 2006 — 20 yrs on file
Profile last updated
March 7, 2023
Specialty taxonomy
207L00000X — NUCC code
State license (1)
Washington #MD00038794
Medicaid
WA #8286080

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1053422378. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
57
Distinct HCPCS
3
Medicare allowed
$7,315
HCPCS Description Services Patients Avg allowed
00811 Anesthesia for other procedure on large bowel using an endoscope 23 23 $128
00731 Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 18 18 $153
00812 Anesthesia for exam of colon using an endoscope 16 16 $100

In context: peer comparison

Among 12 peers in this city , average services per provider: 18. This provider delivers 3.2× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$15
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Merck Sharp & Dohme LLC 1 $15.16

By nature of payment

Food and Beverage
$15

Frequently asked questions

Auto-generated from federal data
What is Dr. Ichiro Otsu's medical specialty?
Dr. Ichiro Otsu practices Anesthesiology Physician in Renton, WA.
Where does Dr. Ichiro Otsu practice?
Dr. Ichiro Otsu practices at 400 S 43Rd St, Renton, WA 980555714. Office phone: 4253533788.
What is Dr. Ichiro Otsu's NPI?
Dr. Ichiro Otsu's National Provider Identifier (NPI) is 1053422378, issued by NPPES.
What procedures does Dr. Ichiro Otsu commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811); Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731); Anesthesia for exam of colon using an endoscope (HCPCS 00812). Source: CMS Medicare Physician & Other Practitioners file.