Daniel Olivero, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD455879 Issued in PA

Practice address

1243 Skytop Mountain Rd Ste 4
Port Matilda, PA 16870-7725

Phone

(602) 400-3283

Fax

(814) 584-5751

NPI assigned

Jan 17, 2013

Last updated

May 6, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 15

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, WA, FL, IL, TX, CO, CA, AL, MI, KY, TN11 enrollments

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 11

Specialty

Internal Medicine

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.olivero@758905417039876.direct.elationemr.com
• Direct secure messaging: dolivero167731@direct-guthrie.org

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.

• Daniel Olivero MD Alabama HC PC

  • Internal Medicine Physician
  • Cullman, AL
  • NPI 1245113091

  Family Medicine

  Medicare reassignment NPD Authorized official
• HC Pennsylvania P.C.

  • Multi-Specialty Clinic/Center
  • Lakewood, NJ
  • NPI 1508754227

  PA

  Medicare reassignment NPD Authorized official
• HC Wound Management PSC

  • Internal Medicine Physician
  • Benton, KY
  • NPI 1083571327

  TN

  Medicare reassignment NPD Authorized official
• Hickory California PC

  • Internal Medicine Physician
  • Sonora, CA
  • NPI 1194608869
  Medicare reassignment NPD Authorized official
• Hickory Texas, P.a.

  • Multi-Specialty Clinic/Center
  • Lakewood, NJ
  • NPI 1255220810

  TX

  Medicare reassignment NPD Authorized official
• HC Florida P.a.

  • Internal Medicine Physician
  • Lakewood, NJ
  • NPI 1417801234

  FL

  Medicare reassignment NPD (past) Authorized official
• Pinnacle Health Medical Services

  • Family Medicine Physician
  • Harrisburg, PA
  • NPI 1932143427
  Medicare reassignment NPD
• Regional Health Services Inc

  • Family Medicine Physician
  • Erie, PA
  • NPI 1174520654
  Medicare reassignment NPD
• Mobile Care Physicians Group PC

  • Clinical Social Worker
  • Lawrenceville, GA
  • NPI 1457010126

  WA

  Medicare reassignment NPD
• Mobile Care Physicians Group PC

  • Clinical Social Worker
  • Tampa, FL
  • NPI 1780345900

  MI

  Medicare reassignment NPD
• Truecare24 Physicians Group, S.C.

  • Clinical Social Worker
  • Denver, CO
  • NPI 1710560545

  Family Medicine, IL, TX

  Medicare reassignment NPD
• Olivero Care PLLC

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1831035047
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1902144512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 SKYTOP MOUNTAIN RD STE 4",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707725",
            "telephone_number": "602-400-3283",
            "fax_number": "814-584-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 SKYTOP MOUNTAIN RD STE 4",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707725",
            "telephone_number": "602-400-3283",
            "fax_number": "814-584-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERO",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-17",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0026012",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-16741",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "67578",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "207870",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD455879",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "333693",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NC",
            "license": "2023-00319",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD210011928",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C184112",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD455879",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "46215",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "074004",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "PA",
            "license": "MD455879",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD455879",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "CDR.0002656",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103054821",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivero Medical Health Center (Olivero Medical Laboratory)
• Olivero Rural Health Center Inc
• Olivero Rural Laboratory Inc
• Olivero Rural Pharmacy, Inc
• Daniel Olivero Jr., MA
• Jonathan Olivero, MA
• Soani Olivero
• Samuel K. Owusu, M.D.
• Rakhi Pal, MD
• Jessica Erin Park, RN

• Family Medicine Physician in Port Matilda, PA
• Providers in Port Matilda, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.