Organization Active NPI

C. Michel Oliva, MD PA

  • Interventional Pain Medicine Physician
  • Lubbock, TX
National Provider Identifier
1235404625
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
H8299 Issued in TX
Legal business name
C. MICHEL OLIVA, MD PA
Practice address
4404 6TH St
Lubbock, TX 79416-4732
Phone
(806) 791-3377
Fax
(806) 791-3378
NPI assigned
Mar 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Dr. C. Michel Oliva, MD PA
Title
Physician
Phone
(806) 791-3377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X H8299 TX Primary

Addresses

Primary practice location

4404 6TH St
Lubbock, TX 79416-4732

Mailing address

PO Box 64123
Lubbock, TX 79464-4123
Phone (806) 791-3377

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120424000108 TX Part B Supplier - Clinic/Group Practice 6002078805 Receives reassigned benefits from 1 practitioner
Practice locations: Lubbock, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1091503C Michel Oliva MD4404 6TH St, Lubbock, TX 79416Certificate of waiverNov 2, 2026

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25561/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1235404625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64123",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794644123",
            "telephone_number": "806-791-3377",
            "fax_number": "806-791-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 6TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794164732",
            "telephone_number": "806-791-3377",
            "fax_number": "806-791-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. MICHEL OLIVA, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "OLIVA",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "MICHEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "806-791-3377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "H8299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.