DR. MARIO ERNESTO OLMEDO MD
NPI 1396945028
Family Medicine in Durham, NC
About Dr. Mario Ernesto Olmedo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARIO ERNESTO OLMEDO MD (NPI 1396945028) is an individual family medicine provider in Durham, North Carolina, licensed in North Carolina (2007-01855) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2005).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Mario Ernesto Olmedo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mario Olmedo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Durham, NC 27705
- Reassigned Medicare billing, North Carolina enrollment
- 636 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Duke University Hospital
Acute Care Hospitals · Durham, NCAlamance Regional Medical Center
Acute Care Hospitals · Burlington, NCDuke Regional Hospital
Acute Care Hospitals · Durham, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Mario Olmedo's NPI number?
The NPI number for Mario Olmedo is 1396945028. It was assigned to this individual provider in the NPPES registry on July 20, 2007.
Where is Mario Olmedo located?
Mario Olmedo practices at 1901 Hillandale Rd Suite D, Durham, NC 27705. The listed phone number is (919) 383-4355.
What is Mario Olmedo's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mario Olmedo enrolled in Medicare?
Yes. Mario Olmedo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mario Olmedo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mario Olmedo reassigns Medicare benefits to Duke University Affiliated Physicians, Inc. (Durham, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mario Olmedo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mario Olmedo accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Mario Olmedo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Mario Olmedo affiliated with any hospitals?
According to CMS data, Mario Olmedo is affiliated with Duke University Hospital, Alamance Regional Medical Center and Duke Regional Hospital.
When was this NPI record last updated?
The NPPES record for Mario Olmedo was last updated on September 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.
# Dr. Mario Ernesto Olmedo, MD · NPI 1396945028
Family Medicine physician in Durham, North Carolina. Individual provider, active in the CMS NPPES registry since July 20, 2007.
## Identity
- **NPI:** 1396945028 (Entity type: Individual)
- **Enumerated:** July 20, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2007-01855 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1901 HILLANDALE RD, SUITE D, Durham, NC 27705-2664
- **Phone:** (919) 383-4355
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Duke University Affiliated Physicians, Inc. (NPI 1356373724, Durham, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Carolina At Chapel Hill School Of Medicine, class of 2005
## Record status
- **NPPES last updated:** September 19, 2008
- **Other identifiers:** Medicaid 5909827 (NC); Medicare PIN 2022623 (NC)
---
Source: [NPI Profile](https://npiprofile.com/npi/1396945028) · Data from the CMS NPPES public registry.