Active NPI
Adriana Olivares, MD
- Anatomic Pathology & Clinical Pathology Physician
- Hurst, TX
National Provider Identifier
1750385142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- K6914
- Practice address
- 900 Airport Fwy Ste 132
Hurst, TX 76054-3252 - Phone
- (817) 514-4005
- Fax
- (817) 576-0591
- NPI assigned
- Jun 13, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | K6914 | TX | Primary |
Addresses
Primary practice location
900 Airport Fwy Ste 132
Hurst, TX 76054-3252
Mailing address
900 Airport Fwy Ste 132
Hurst, TX 76054-3252
Phone (817) 514-4005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1722365 | Medicaid | TX |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K6914 | TX | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Urology Institute PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Urology Associates of South Texas PA | Past | Accepting new patients | |
| Urology Tyler, PA | Past | Accepting new patients | |
| Urology Care, Inc. | Past | Accepting new patients | |
| Northwoods Urology Association | Past | Accepting new patients | |
| Northwoods Urology Association | Past | Accepting new patients |
Locations
2400 Hartman Ln
Ste 100
Springfield, OR 97477
Phone (541) 334-3350
7909 Fredericksburg Rd
Ste 150
San Antonio, TX 78229
Phone (210) 521-7700
Organizations & group practices 6
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.
-
- Specialist
- Springfield, OR
- NPI 1801812078
Anatomic Pathology & Clinical Pathology, TX
-
- Specialist
- Shenandoah, TX
- NPI 1396836359
-
- Specialist
- Houston, TX
- NPI 1437383908
-
- Urology Physician
- McAllen, TX
- NPI 1770683195
-
- Urology Physician
- Tyler, TX
- NPI 1861572968
-
- Urology Physician
- Jefferson City, MO
- NPI 1780723205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574812800000",
"number": "1750385142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 AIRPORT FWY STE 132",
"city": "HURST",
"state": "TX",
"postal_code": "760543252",
"telephone_number": "817-514-4005",
"fax_number": "817-576-0591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 AIRPORT FWY STE 132",
"city": "HURST",
"state": "TX",
"postal_code": "760543252",
"telephone_number": "817-514-4005",
"fax_number": "817-576-0591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVARES",
"first_name": "ADRIANA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-13",
"last_updated": "2019-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "K6914",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1722365",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.