Individual provider Active NPI

Carlos Olivares, NP-C

  • Family Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1134591381
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1015374 Issued in MD
Practice address
7137 Arlington Road
Bethesda, MD 20814
Phone
(240) 744-3390
NPI assigned
Oct 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F1015374 MD Primary

Addresses

Primary practice location

7137 Arlington Road
Bethesda, MD 20814

Mailing address

7676 New Hampshire Ave
Takoma Park, MD 20912-7512
Phone (301) 431-0160

Other practice location 1

7676 New Hampshire Ave
Silver Spring, MD 20912
Phone (301) 431-0160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180313000069 DC Practitioner - Nurse Practitioner 2567724487 Reassigns benefits to 3 organizations
I20180313000089 MD Practitioner - Nurse Practitioner 2567724487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Faculty Associates, IncGroup PAC ID 4082528898, 676 clinicians

Practice addresses (Care Compare)

900 23Rd St NW
Washington, DC 20037-2342
Phone (202) 715-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F1015374MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Familys Urgent Care CurrentSince Nov 19, 2020 Accepting new patients
Medical Faculty Associates, Inc CurrentSince Feb 2, 2023 Accepting new patients
Deardorff & Camacho PastSince Sep 1, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2300 M St NW
Ste 910
Washington, DC 20037
Phone (202) 677-6990

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

7137 Arlington Rd
Bethesda, MD 20814
Phone (240) 744-3390

8011 New Hampshire Ave
Hyattsville, MD 20783
Phone (301) 519-9200

Interoperability endpoints

  • Direct secure messaging: colivares38881@gwmfa.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1134591381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7676 NEW HAMPSHIRE AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209127512",
            "telephone_number": "301-431-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7137 ARLINGTON ROAD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20814",
            "telephone_number": "240-744-3390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7676 New Hampshire Ave",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "20912",
            "country_code": "US",
            "telephone_number": "301-431-0160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVARES",
        "first_name": "CARLOS",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-28",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "F1015374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.