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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EDWIN ANTONIO OLIVERA MD
NPI 1245171941
Internal Medicine in Chicago, IL

Active since April 06, 2026PECOS Enrolled
840 S WOOD ST STE 1020S, CHICAGO, IL 60612(312) 996-7836 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edwin Antonio Olivera Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWIN ANTONIO OLIVERA MD (NPI 1245171941) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (125088568) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245171941
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameEDWIN ANTONIO OLIVERACredential: MD
Location Address840 S WOOD ST STE 1020SChicago, IL 60612-4325
Mailing Address840 S Wood St Ste 1020sChicago, IL 60612-4325 · (312) 996-2933
Phone(312) 996-7836
Sole ProprietorNo
Enumeration DateApril 6, 2026
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1245171941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 125088568
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
840 S WOOD ST STE 1020S, Chicago, IL 60612
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Other Names 1

Former Name (1)Edwin Antonio

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edwin Antonio Olivera Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEFANIE JOY-IMHOF DRIESENGA DO
Student in an Organized Health Care Education/Training Program
840 S WOOD ST STE 1020S
CHICAGO, IL 60612
Cook County (312) 996-7000
REDIAT EPHREM
Internal Medicine
840 S WOOD ST STE 1020S
CHICAGO, IL 60612
Cook County (312) 996-2933

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwin Antonio Olivera's NPI number?

The NPI number for Edwin Antonio Olivera is 1245171941. It was assigned to this individual provider in the NPPES registry on April 6, 2026. The provider is also known as Edwin Antonio.

Where is Edwin Antonio Olivera located?

Edwin Antonio Olivera practices at 840 S Wood St Ste 1020S, Chicago, IL 60612. The listed phone number is (312) 996-7836.

What is Edwin Antonio Olivera's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Edwin Antonio Olivera enrolled in Medicare?

Yes. Edwin Antonio Olivera is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edwin Antonio Olivera was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.