Individual provider Active NPI

Luis C Olivas, D.O

  • Family Medicine Physician
  • Abilene, TX
National Provider Identifier
1164721809
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P9676 Issued in TX
Practice address
1665 Antilley Rd Ste 200
Abilene, TX 79606
Phone
(325) 428-5650
Fax
(325) 428-5659
NPI assigned
Mar 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X P9676 TX
Family Medicine Physician 207Q00000X P9676 TX Primary

Addresses

Primary practice location

1665 Antilley Rd Ste 200
Abilene, TX 79606

Mailing address

PO Box 5409
Abilene, TX 79608-5409
Phone (325) 437-8680

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
I20141110000675 TX Practitioner - Family Practice 9133352248 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Physician Services, PLLCGroup PAC ID 5890145783, 57 clinicians

Practice addresses (Care Compare)

600 N Union Ave
New Braunfels, TX 78130-4194
Phone (830) 606-9111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC CurrentSince Apr 10, 2015 Accepting new patients
Hni Physician Services of Texas, Inc Family Medicine CurrentSince May 6, 2021 Accepting new patients
Concord Medical Group PLLC CurrentSince Apr 10, 2015 Accepting new patients
South Texas Physician Services, PLLC Hospitalist CurrentSince Dec 1, 2024 Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients
Doctors Hospital of Laredo Past Accepting new patients
Christus Santa Rosa Health Care Corporation Past Accepting new patients

Locations

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Organizations & group practices 7

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 3

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": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1164721809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5409",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796085409",
            "telephone_number": "325-437-8680",
            "fax_number": "325-793-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 ANTILLEY RD STE 200",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79606",
            "telephone_number": "325-428-5650",
            "fax_number": "325-428-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVAS",
        "first_name": "LUIS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-21",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "P9676",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P9676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.