Individual provider Active NPI

Stephanie Oliva, M.D.

  • Family Medicine Physician
  • Leominster, MA
National Provider Identifier
1750624482
Registry record updated Jul 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
269214 Issued in MA
Practice address
225 New Lancaster Rd
Leominster, MA 01453
Phone
(978) 466-3208
NPI assigned
Apr 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2021

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 269214 MA Primary

Addresses

Primary practice location

225 New Lancaster Rd
Leominster, MA 01453

Mailing address

600 Clark Rd Ste 3
Tewksbury, MA 01876-1698
Phone (978) 851-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20170202000371 MA Practitioner - Family Practice 2860636859 Reassigns benefits to 1 organization
Practice locations: Gardner, MA; Athol, MA; Framingham, MA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 Lincoln St
Framingham, MA 01702-6358
Phone (508) 383-2190

2033 Main St
Athol, MA 01331-3535
Phone (978) 669-5690

242 Green St
Gardner, MA 01440-1336
Phone (978) 669-5690

Hospital & facility affiliations

  • Metrowest Medical Center Hospital, Framingham, MA, CCN 220175
  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063
  • Heywood Hospital - Hospital, Gardner, MA, CCN 220095

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue419
Removal of skin lesions13
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
269214MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie M. Oliva MD PC Family Medicine CurrentSince Aug 21, 2018 Accepting new patients
LGH Professional Services LLC Past Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

35 United Dr
Ste 102
West Bridgewater, MA 02379

Interoperability endpoints

  • Direct secure messaging: stephanie.oliva.npi1750624482.reliant@direct.optumcare.masshiway.net
  • Direct secure messaging: soliva47107@tuftsmedicine.direct-ci.com

Organizations & group practices 2

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 4

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": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627084800000",
    "number": "1750624482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CLARK RD STE 3",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761698",
            "telephone_number": "978-851-4141",
            "fax_number": "978-640-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 NEW LANCASTER RD",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "01453",
            "telephone_number": "978-466-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVA",
        "first_name": "STEPHANIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2021-07-24",
        "certification_date": "2021-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "269214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.