David Adrian Olvera, MD
Individual provider Active NPI Anesthesiology Physician · Tyler, TX
NPI 1750585337 · NPPES record last updated Jul 29, 2021
Key facts
- NPI
- 1750585337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- N3960 (TX)
- Practice address
- 700 Olympic Plaza Cir Ste 850
Tyler, TX 75701-1955 - Phone
- (903) 596-3504
- Fax
- (903) 596-3604
- NPI assigned
- Jun 14, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Texas Medical Branch at Galveston, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Etmc Physician Group, Inc.
Practice addresses (Care Compare)
18118 FM 344
Flint, TX 75762-6010
Phone (903) 825-3292
700 Olympic Plaza Cir
Tyler, TX 75701-1952
700 Olympic Plaza Cir
Suite 850
Tyler, TX 75701-1955
Phone (903) 596-3504
Hospital & facility affiliations
- Ut Health East Texas Tyler Regional Hospital
- Christus Mother Frances Hospital
- University of Texas Health Science Center at Tyler
- Ut Health East Texas Jacksonville Hospital
- Christus Good Shepherd Medical Center
- Ut Health East Texas Rehabilitation Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101229000995 | TX | Practitioner - Anesthesiology |
1658569058 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David R Jones M.D.,P.a. | Current |
Accepting new patients | |
| David R Jones M.D.,P.a. | Current |
Accepting new patients | |
| Etmc Physician Group Inc. | Current |
Accepting new patients | |
| Etmc Physician Group Inc. | Current |
Accepting new patients | |
| Olvera Anesthesia and Pain Management Inc | Past |
Accepting new patients | |
| Starks Medical | Past | Accepting new patients |
Locations
340 Seven Springs Way
Ste 100
Brentwood, TN 37027
Phone (615) 296-3000
3070 College St
Ste 406
Beaumont, TX 77701
Phone (409) 434-4735
18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292
2114 E Rusk St
Jacksonville, TX 75766
Phone (903) 284-6105
6901 Medical Center Dr
Ste 230
Orange, TX 77630
Phone (409) 883-5300
1000 E 5th St
Ste 100
Tyler, TX 75701
Phone (903) 590-5000
700 Olympic Plaza Cir
Ste 850
Tyler, TX 75701
Phone (903) 595-2441
1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068
Interoperability endpoints
- dolvera355571@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | N3960 | TX | Yes |
Addresses
Primary practice location
700 Olympic Plaza Cir Ste 850
Tyler, TX 75701-1955
Mailing address
700 Olympic Plaza Cir Ste 850
Tyler, TX 75701-1955
Phone (903) 596-3504
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2790065115 | Other | MYUTMB 2790065115-COMMERCIAL NUMBER |
Other providers in Tyler, TX
- Olsv3 PLLC
- Bolarinwa Francis Olusola
- Patti Burk Olusola
- Addason Romana Olvera
- Ana Patrisia Olvera
- Diana Olvera
- Oncology Pharmacy Services Inc
- Florence Ondo
- One Call We Draw Mobile Phlebotomy Services, LLC
- Oneal Family Dentistry PLLC
All providers in Tyler, TX · Anesthesiology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.