Individual provider Active NPI

Terry Paul Olivas, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Tavares, FL
National Provider Identifier
1154404598
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME149639 Issued in FL
Practice address
3310 Waterman Way
Tavares, FL 32778-5250
Phone
(352) 343-1216
Fax
(352) 343-1582
NPI assigned
Oct 21, 2006
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 48721 MN
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME149639 FL Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 90251 GA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X PT10369 ND

Addresses

Primary practice location

3310 Waterman Way
Tavares, FL 32778-5250

Mailing address

3310 Waterman Way
Tavares, FL 32778-5250
Phone (352) 343-1216

Other practice location 1

400 E 3rd St
Essentia Health Duluth Clinic
Duluth, MN 55805-1951
Phone (218) 786-3900

Other practice location 2

123 Baptist Way
Pensacola, FL 32503-2254
Phone (448) 227-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210312000039 WI Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 4789684408 Reassigns benefits to 2 organizations
I20211001000374 FL Practitioner - Cardiac Surgery 4789684408 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Surgery
Education
University of Nevada School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

1000 Waterman Way
Tavares, FL 32778-5266
Phone (352) 742-3581

1737 David Walker Dr
Tavares, FL 32778-5745
Phone (352) 742-3578

1741 David Walker Dr
Tavares, FL 32778-5745
Phone (352) 742-8836

1749 David Walker Dr
Tavares, FL 32778-5745
Phone (352) 742-1760

1755 David Walker Dr
Tavares, FL 32778-5745
Phone (352) 742-8830

1765 David Walker Dr
Tavares, FL 32778-5745
Phone (352) 343-3330

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6015AKMDCritical Care Medicine (Internal Medicine) Physician
ME149639FLMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
90251GAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
48721MNMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
PT10369NDMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc Current Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Sep 27, 2021 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Sep 27, 2021 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 4, 2021 Accepting new patients
Indian River Health Services Inc CurrentSince Sep 29, 2021 Accepting new patients
Indian River Health Services Inc CurrentSince Sep 29, 2021 Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince May 2, 2024 Accepting new patients
Marshfield Clinic Inc CurrentSince Mar 4, 2021 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 4, 2021 Accepting new patients
Denali Cardiac and Thoracic Surgical Group LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Jan 1, 2004 Accepting new patients
Alaska Regional Medical Group, LLC PastSince Jul 19, 2022 Accepting new patients

Locations

737 Highway 466
Lady Lake, FL 32159
Phone (352) 259-6334

801 E Dixie Ave
Ste 101
Leesburg, FL 34748
Phone (352) 326-4031

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

1061 Medical Center Dr
Ste 203
Orange City, FL 32763
Phone (386) 774-4200

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

1749 David Walker Dr
Tavares, FL 32778
Phone (352) 742-1760

3310 Waterman Way
Tavares, FL 32778
Phone (352) 343-1216

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

3450 11th Ct
Ste 105
Vero Beach, FL 32960
Phone (772) 226-4830

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

3400 Ministry Pkwy
Weston, WI 54476
Phone (715) 393-1000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: terry.olivas@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: tolivas56985@adventhealth.direct-ci.com

Organizations & group practices 11

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.

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": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1154404598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 WATERMAN WAY",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785250",
            "telephone_number": "352-343-1216",
            "fax_number": "352-343-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 WATERMAN WAY",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785250",
            "telephone_number": "352-343-1216",
            "fax_number": "352-343-1582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E 3rd St",
            "address_2": "Essentia Health Duluth Clinic",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558051951",
            "country_code": "US",
            "telephone_number": "218-786-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Baptist Way",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325032254",
            "country_code": "US",
            "telephone_number": "448-227-6500",
            "fax_number": "850-857-1747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVAS",
        "first_name": "TERRY",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MN",
            "license": "48721",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME149639",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "GA",
            "license": "90251",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "ND",
            "license": "PT10369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

Verify at the official NPI Registry.