Individual provider Active NPI

Julie Lomonaco Olivo, M.D.

  • Internal Medicine Physician
  • Bedford, TX
National Provider Identifier
1124061015
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L8462 Issued in TX
Practice address
1305 Airport Fwy Ste 320
Bedford, TX 76021-1116
Phone
(817) 684-3500
Fax
(817) 684-3510
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L8462 TX
Internal Medicine Physician 207R00000X L8462 TX Primary

Addresses

Primary practice location

1305 Airport Fwy Ste 320
Bedford, TX 76021-1116

Mailing address

1305 Airport Fwy Ste 320
Bedford, TX 76021-1116
Phone (817) 684-3500

Other identifiers 2

IdentifierTypeStateIssuer
168348401MedicaidTX
168348402MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20041015000366 TX Practitioner - Internal MedicinePractitioner - Pediatric Medicine 3173583945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Clinic of North Texas, PLLCGroup PAC ID 9830084540, 212 clinicians

Practice addresses (Care Compare)

1305 Airport Fwy
Suite 320
Bedford, TX 76021-1116
Phone (817) 684-3500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas PLLC CurrentSince Sep 1, 2004 Accepting new patients
Medical Clinic of North Texas, PLLC Internal Medicine CurrentSince Sep 1, 2004 Accepting new patients

Locations

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

1615 Hospital Pkwy
Ste 103
Bedford, TX 76022
Phone (817) 354-2680

1305 Airport Fwy
Ste 320
Bedford, TX 76021
Phone (817) 545-0662

808 N Nolan River Rd
Cleburne, TX 76033
Phone (817) 558-3937

3101 Churchill Dr
Ste 310
Flower Mound, TX 75022
Phone (972) 691-8700

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

9901 Valley Ranch Pkwy E
Ste 1015
Irving, TX 75063
Phone (972) 373-0303

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: julie.olivo.1@19934.direct.athenahealth.com
  • Direct secure messaging: julie.olivo@wellmed.eclinicaldirectplus.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1124061015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 AIRPORT FWY STE 320",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760211116",
            "telephone_number": "817-684-3500",
            "fax_number": "817-684-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 AIRPORT FWY STE 320",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760211116",
            "telephone_number": "817-684-3500",
            "fax_number": "817-684-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVO",
        "first_name": "JULIE",
        "middle_name": "LOMONACO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L8462",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L8462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168348401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168348402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.