Enrique B Olivares, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

DOO46313 Issued in MD

Practice address

723 E Patapsco Ave
Baltimore, MD 21225-1934

Phone

(410) 355-1532

NPI assigned

Oct 7, 2005

Last updated

Jan 2, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: Addiction Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Arundel Lodge, Inc.Group PAC ID 8123197050, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.83 of 100Reported as group

Quality

90.4

Improvement activities

40

Cost

82.22

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arundel Lodge, Inc.

  • Community/Behavioral Health Agency
  • Edgewater, MD
  • NPI 1225213507
  Medicare reassignment Care Compare group NPD
• The Personal Wellness Center

  • Mental Health Counselor
  • Salisbury, MD
  • NPI 1093050890
  Medicare reassignment NPD
• Arundel Lodge, Inc

  • Community/Behavioral Health Agency
  • Annapolis, MD
  • NPI 1689063059
  NPD
• Ats of Cecil County, LLC

  dba Elkton Treatment Center

  • Methadone Clinic
  • Elkton, MD
  • NPI 1598892754
  NPD
• Comptroller of Maryland Central Payroll Bureau

  dba Spring Grove Hospital Center

  • Psychiatric Hospital Unit
  • Catonsville, MD
  • NPI 1962493403
  NPD (past)
• Metro Families Adult-Children

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1184930513
  NPD (past)
• University of Maryland Psychiatry Associates, PA

  dba Psychiatry Associates, PA

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1649292699
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1053309674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 E PATAPSCO AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251934",
            "telephone_number": "410-355-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 E PATAPSCO AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251934",
            "telephone_number": "410-355-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVARES",
        "first_name": "ENRIQUE",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "DOO46313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "1500772",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "677520900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD",
            "identifier": "9895R",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen M Olexo, MD
• Till Olickal
• David Oliner
• Dione Oliva Lopez
• Maria M Oliva-Hemker, M.D.
• Janet Olivares, CRNA
• Julian Olivares, RN
• Michelle Olivarez, PHARMD, MPH
• Genesis Olivas
• Olive Branch Counseling Services LLC

• Psychiatry Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.