Individual provider Active NPI

Jenny M Olivo, MD

  • Family Medicine Physician
  • Irving, TX
National Provider Identifier
1245439751
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N3217 Issued in TX
Practice address
3501 N Macarthur Blvd
Suite 400
Irving, TX 75062-3651
Phone
(972) 253-4395
Fax
(972) 594-0111
NPI assigned
Jul 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N3217 TX Primary

Addresses

Primary practice location

3501 N Macarthur Blvd
Suite 400
Irving, TX 75062-3651

Mailing address

2021 N Macarthur Blvd
Suite 150
Irving, TX 75061-2219
Phone (972) 253-2560

Other identifiers 1

IdentifierTypeStateIssuer
2100638 01MedicaidTX

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
I20081028000866 TX Practitioner - Family Practice 1153489570 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N3217TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care Texas, P.a. CurrentSince Jun 20, 2018 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Nov 1, 2023 Accepting new patients
Medexpress Urgent Care Texas, P.a. Current Accepting new patients
Texan Urgent Care PLLC CurrentSince May 14, 2022 Accepting new patients
Valora Medical Center LLC CurrentSince Jan 2, 2024 Accepting new patients
Medexpress Urgent Care Texas, P.a. CurrentSince Jun 20, 2018 Accepting new patients
Medexpress Urgent Care Texas, P.a. Past Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

10152 Lake June Rd
Ste 110
Dallas, TX 75217
Phone (972) 557-6551

9100 Viscount Blvd
El Paso, TX 79925
Phone (915) 594-4475

12371 Edgemere Blvd
#207209
El Paso, TX 79938
Phone (915) 856-0008

5001 S Hulen St
Fort Worth, TX 76132
Phone (817) 361-1928

1004 S Carrier Pkwy
Grand Prairie, TX 75051
Phone (214) 677-1300

5601 Executive Dr
Ste 200
Irving, TX 75038
Phone (352) 565-7290

22915 Morton Ranch Rd
Katy, TX 77449
Phone (281) 574-0124

11826 Broadway St
Pearland, TX 77584
Phone (713) 340-1124

1305 N Highway 77
Waxahachie, TX 75165
Phone (972) 937-1203

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.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1245439751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 N MACARTHUR BLVD",
            "address_2": "SUITE 150",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612219",
            "telephone_number": "972-253-2560",
            "fax_number": "972-253-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N MACARTHUR BLVD",
            "address_2": "SUITE 400",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623651",
            "telephone_number": "972-253-4395",
            "fax_number": "972-594-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVO",
        "first_name": "JENNY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N3217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2100638 01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.