Individual provider Active NPI

Jorge Eduardo Olaya, M.D.

  • Pediatrics Physician
  • Del Rio, TX
National Provider Identifier
1578753729
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N4637 Issued in TX
Practice address
1801 N Bedell Ave
Del Rio, TX 78840-8001
Phone
(830) 765-9200
Fax
(830) 774-3534
NPI assigned
Jul 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X N4637 TX Primary

Addresses

Primary practice location

1801 N Bedell Ave
Del Rio, TX 78840-8001

Mailing address

PO Box 437
San Antonio, TX 78292-0437
Phone (210) 558-6288

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
I20110113000672 TX Practitioner - Pediatric Medicine 3971792490 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Val Verde Hospital Corporation CurrentSince Apr 7, 2017 Accepting new patients
Val Verde Hospital Corporation CurrentSince Apr 7, 2017 Accepting new patients
Val Verde Hospital Corporation Current Accepting new patients
Val Verde Hospital Corporation Past Accepting new patients
Val Verde Hospital Corporation Past Accepting new patients

Locations

1801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 768-9200

801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 703-1702

Organizations & group practices 5

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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1578753729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 437",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782920437",
            "telephone_number": "210-558-6288",
            "fax_number": "210-558-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N BEDELL AVE",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788408001",
            "telephone_number": "830-765-9200",
            "fax_number": "830-774-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAYA",
        "first_name": "JORGE",
        "middle_name": "EDUARDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N4637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Rio, TX

Sources for this page

Verify at the official NPI Registry.