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

Oluwatobi Ganiu Lasisi, MD

Individual provider Family Medicine Physician · NPI 1790429686

Oluwatobi Ganiu Lasisi, MD is a Family Practice in Fairfax, Virginia. Qualified in 2013, 13 years ago. Practices with Inova Physician Partners LLC, a 254-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Maryland and Virginia.

Years since qualifying
13
Licensed in
MD, VA
In the registry since
2022
Specialties on file
2
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

3650 Joseph Siewick Dr Ste 400
Fairfax, VA 22033-1715
Phone: (703) 391-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1110 Annapolis Rd, Odenton, MD 21113-1602 — (443) 351-3917
  • 3650 Joseph Siewick Dr Ste 203, Fairfax, VA 22033-1712 — (703) 391-2020

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101284975 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence D0101924 (MD)

Record details

NPI number1790429686
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 26, 2022
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Inova Physician Partners Llc — 254 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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