Individual provider Active NPI

Anthony Joseph Oliva Jr., MD

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1467569822
Registry record updated Aug 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N5922 Issued in TX
Practice address
5525 Blanco Rd Ste 102
San Antonio, TX 78216-6678
Phone
(210) 474-6020
Fax
(855) 772-9540
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2020

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 N5922 TX
Internal Medicine Physician 207R00000X N5922 TX Primary

Addresses

Primary practice location

5525 Blanco Rd Ste 102
San Antonio, TX 78216-6678

Mailing address

5525 Blanco Rd Ste 102
San Antonio, TX 78216-6678
Phone (210) 474-6020

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
I20110907000835 TX Practitioner - Internal Medicine 4082884713 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bsa Physicians Group IncGroup PAC ID 3971748146, 121 clinicians

Practice addresses (Care Compare)

San Antonio, TX 78252
Phone (210) 446-6532

1600 Wallace Blvd
Amarillo, TX 79106-1799
Phone (806) 212-2129

Hospital & facility affiliations

  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231
  • Golden Plains Community Hospital Hospital, Borger, TX, CCN 451369

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue436

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N5922TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bsa Physicians Group Inc CurrentSince Dec 1, 2021 Accepting new patients
North Star Holistics, LLC Internal Medicine CurrentSince Jun 16, 2025 Accepting new patients
Southwest Medical Associates, Inc. CurrentSince Nov 28, 2017 Accepting new patients
Bsa Physicians Group Inc Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients

Locations

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

1751 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2129

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

21750 Hardy Oak Blvd
Ste 104
San Antonio, TX 78258
Phone (210) 201-6334

Organizations & group practices 4

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598140800000",
    "number": "1467569822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 BLANCO RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166678",
            "telephone_number": "210-474-6020",
            "fax_number": "855-772-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 BLANCO RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166678",
            "telephone_number": "210-474-6020",
            "fax_number": "855-772-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVA",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-23",
        "certification_date": "2020-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "N5922",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N5922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.