DR. RODERICK OLIVAS MD
NPI 1295294684
Student in an Organized Health Care Education/Training Program in Lubbock, TX

Q: What is Roderick Olivas's NPI number?

The NPI number for Roderick Olivas is 1295294684. It was assigned to this individual provider in the NPPES registry on March 15, 2019.

Q: What is Roderick Olivas's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Roderick Olivas was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since March 15, 2019PECOS Enrolled

3601 4TH ST STOP 6211, LUBBOCK, TX 79430(806) 743-2978(806) 743-1599 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2025, Jun 21, 2020, Mar 15, 2019 (3 updates tracked since 2019).

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About Dr. Roderick Olivas Md NPPES

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

DR. RODERICK OLIVAS MD (NPI 1295294684) is an individual student in an organized health care education/training program in Lubbock, Texas, licensed in Texas (U7920) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295294684

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. RODERICK OLIVASCredential: MD

Location Address3601 4TH ST STOP 6211Lubbock, TX 79430-5881

Mailing Address3601 4th St Stop 6211Lubbock, TX 79430-6211

Phone(806) 743-2978

Fax(806) 743-1599

Sole ProprietorNo

Enumeration DateMarch 15, 2019

Last NPPES UpdateMarch 12, 20253 updates tracked since enumeration

NPPES CertifiedMarch 12, 2025

✔ NPI 1295294684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in TX · U7920

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedGeneral PracticeTaxonomy 208D00000X · License U7920 (TX)

3601 4TH ST STOP 6211, Lubbock, TX 79430

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roderick Olivas 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.

Other Providers at the Same Location NPPES 20

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

BRADY EVERITT GUNTER MD

Student in an Organized Health Care Education/Training Program