NPIMap

Individual provider Active NPI

Julio Cesar Olivieri Jr., M.D.

  • Internal Medicine Physician
  • Mesquite, TX
National Provider Identifier
1881605780
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K2549 Issued in TX
Practice address
3224 I 30 Ste 118
Mesquite, TX 75150-2693
Phone
(972) 697-8580
Fax
(214) 602-7505
NPI assigned
Aug 10, 2006
Last updated
Jul 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K2549 TX Primary

Addresses

Primary practice location

3224 I 30 Ste 118
Mesquite, TX 75150-2693

Mailing address

4512 Ralph LN
Dallas, TX 75227-1845
Phone (972) 243-7903

Other practice location 1

4512 Ralph Ln
Dallas, TX 75227-1845
Phone (972) 697-8580

Other identifiers 5

IdentifierTypeStateIssuer
111912501MedicaidTX
0057BLOtherTXBLUECROSS BLUE SHIELD
4785OtherTXPARKLAND IDENTIFICATION #
10028091OtherTXAMERIGROUP IDENTIFICATION
111912503MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060811000089 TX Practitioner - Internal MedicinePractitioner - Family Practice 4587667555 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3224 I
30 Suite 118
Mesquite, TX 75150-2693
Phone (972) 697-8580

411 N Washington Ave
Suite 2600
Dallas, TX 75246-1734
Phone (214) 699-4077

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Medics LLC CurrentSince Jul 12, 2024 Accepting new patients
J Olivieri Professional Health Network LLC Internal Medicine CurrentSince Jul 30, 2011 Accepting new patients
J Olivieri Professional Health Network LLC Internal Medicine Current Accepting new patients
Liferestore MD USA LLC CurrentSince Jan 2, 2020 Accepting new patients
North Texas Premier Wound Care LLC Internal Medicine CurrentSince Nov 21, 2024 Accepting new patients
Care Track Consulting LLC Past Accepting new patients
Julio Olivieri Internal Medicine PastSince Jul 6, 2010 Accepting new patients
Dr. Julio Olivieri & Associates Internal Medicine Past Accepting new patients
Visiting Physician's Network, Inc PastSince Feb 10, 2014 Accepting new patients

Locations

1301 S Bowen Rd
Ste LL140
Arlington, TX 76013
Phone (214) 764-9197

12200 Ford Rd
Ste 278
Dallas, TX 75234
Phone (972) 243-7903

3910 Gaston Ave
Ste 140
Dallas, TX 75246
Phone (214) 381-1910

411 N Washington Ave
Ste 140
Dallas, TX 75246

411 N Washington Ave
Ste 2600
Dallas, TX 75246
Phone (214) 699-4077

6300 Samuell Blvd
Ste 120
Dallas, TX 75228
Phone (214) 381-1910

105 Decker Ct
Ste LL110
Irving, TX 75062
Phone (214) 764-9197

3224 I 30
Ste 118
Mesquite, TX 75150
Phone (972) 697-8580

1312 14th St
Ste 101
Plano, TX 75074
Phone (214) 210-2911

5200 Paige Rd
Ste 600
The Colony, TX 75056
Phone (972) 697-8580

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Angel Hands Hospice of East TexasTyler, TX, CCN 671799 Hospice Contracted Managing Employee Oct 3, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Pegasus Hospice LLC

    dba Angel Hands Hospice of East Texas

    • Community Based Hospice Care Agency
    • Tyler, TX
    • NPI 1194079814

    Contracted Managing Employee

    CMS ownership

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1881605780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 RALPH LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752271845",
            "telephone_number": "972-243-7903",
            "fax_number": "972-243-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 I 30 STE 118",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502693",
            "telephone_number": "972-697-8580",
            "fax_number": "214-602-7505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4512 Ralph Ln",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752271845",
            "country_code": "US",
            "telephone_number": "972-697-8580",
            "fax_number": "214-602-7505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVIERI",
        "first_name": "JULIO",
        "middle_name": "CESAR",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K2549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111912501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "0057BL",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARKLAND IDENTIFICATION #",
            "identifier": "4785",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP IDENTIFICATION",
            "identifier": "10028091",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111912503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.