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GAVIN FORREST OLIVAREZ
NPI 1295679397
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 17, 2026PECOS Enrolled
22201 MOROSS RD STE 50, DETROIT, MI 48236(313) 343-7774(313) 343-8747 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gavin Forrest Olivarez NPPES

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

GAVIN FORREST OLIVAREZ (NPI 1295679397) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295679397
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGAVIN FORREST OLIVAREZ
Location Address22201 MOROSS RD STE 50Detroit, MI 48236-2166
Mailing Address22201 Moross Rd Ste 50Detroit, MI 48236-2166 · (313) 343-7774 · Fax (313) 343-8747
Phone(313) 343-7774
Fax(313) 343-8747
Sole ProprietorNo
Enumeration DateApril 17, 2026
NPPES CertifiedApril 17, 2026
✔ NPI 1295679397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
22201 MOROSS RD STE 50, Detroit, MI 48236
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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)

Gavin Forrest Olivarez 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.

AMR EL-MOUSA
Student in an Organized Health Care Education/Training Program
22201 MOROSS RD STE 50
DETROIT, MI 48236
Wayne County (313) 343-7774
MELAD MONER BARAKAT SAYH MD
Student in an Organized Health Care Education/Training Program
22201 MOROSS RD STE 50
DETROIT, MI 48236
Wayne County (313) 343-7774
PHU DO
Internal Medicine
22201 MOROSS RD STE 50
DETROIT, MI 48236
Wayne County (313) 343-7774
BEAUX DUHE MD
Student in an Organized Health Care Education/Training Program
22201 MOROSS RD STE 50
DETROIT, MI 48236
Wayne County (313) 343-4585
DR. SUMAN KAZA MD
Psychiatry & Neurology (Neurology)
22201 MOROSS RD STE 50
DETROIT, MI 48236
Wayne County (313) 343-7774
RAMI AL-KHAFFAF
Student in an Organized Health Care Education/Training Program
22201 MOROSS RD STE 50
DETROIT, MI 48236
Wayne County (313) 343-7774
MADHAV R KAPILA
Internal Medicine
22201 MOROSS RD STE 50
DETROIT, MI 48236
Wayne County (313) 343-7774
DR. LENA ANWAR SAID DADDOO MD
Student in an Organized Health Care Education/Training Program
22201 MOROSS RD STE 50
DETROIT, MI 48236
Wayne County (313) 343-7774

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 Gavin Olivarez's NPI number?

The NPI number for Gavin Olivarez is 1295679397. It was assigned to this individual provider in the NPPES registry on April 17, 2026.

Where is Gavin Olivarez located?

Gavin Olivarez practices at 22201 Moross Rd Ste 50, Detroit, MI 48236. The listed phone number is (313) 343-7774.

What is Gavin Olivarez's specialty?

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

Is Gavin Olivarez enrolled in Medicare?

Yes. Gavin Olivarez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gavin Olivarez was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.