Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ichiro Otsu, MD

Individual provider Anesthesiology Physician · NPI 1053422378

Ichiro Otsu, MD is an Anesthesiology in Renton, Washington. Qualified in 1981, 45 years ago. Practices with Valley Anesthesia Associates PLLC, a 47-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
45
Licensed in
WA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

400 S 43rd St
Renton, WA 98055-5714
Phone: (425) 353-3788
Fax: (425) 353-8041
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence MD00038794 (WA)

Record details

NPI number1053422378
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESMarch 7, 2023
Mailing addressPo Box 84571, Seattle, WA 98124-5871

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Valley Anesthesia Associates Pllc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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