DR. ANTHONY JOSEPH OLIVA JR. MD
NPI 1467569822
Internal Medicine in San Antonio, TX

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
5525 BLANCO RD STE 102, SAN ANTONIO, TX 78216(210) 474-6020(855) 772-9540 Get Directions Write a Review

NPPES record last updated: August 23, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 23, 2020, May 16, 2019, Feb 1, 2016 (3 updates tracked since 2016).

About Dr. Anthony Joseph Oliva Jr. Md NPPES

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

DR. ANTHONY JOSEPH OLIVA JR. MD (NPI 1467569822) is an individual internal medicine provider in San Antonio, Texas, licensed in Texas (N5922) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Dr Dan C Trigg Memorial Hospital, and is a graduate of University Of Texas Medical Branch At Galveston (2004).

NPPES Registry Identity

NPI1467569822
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ANTHONY JOSEPH OLIVA JR.Credential: MD
Location Address5525 BLANCO RD STE 102San Antonio, TX 78216-6678
Mailing Address5525 Blanco Rd Ste 102San Antonio, TX 78216-6678 · (210) 474-6020 · Fax (855) 772-9540
Fax(855) 772-9540
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2004
Enumeration DateAugust 23, 2006
Last NPPES UpdateAugust 23, 20203 updates tracked since enumeration
NPPES CertifiedAugust 23, 2020
✔ NPI 1467569822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · N5922
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.
Also ListedHospitalistTaxonomy 208M00000X · License N5922 (TX)
5525 BLANCO RD STE 102, San Antonio, TX 78216

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. Anthony Joseph Oliva Jr. 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.

PECOS PAC ID4082884713
PECOS Enrollment IDI20110907000835
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Anthony Oliva reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
8135 NUBE MEDINA
San Antonio, TX 78252
  • Reassigned Medicare billing, Texas enrollment
Emergency Medicine
1207 S BAILEY ST
Electra, TX 76360
  • Reassigned Medicare billing, Texas enrollment
  • 155 clinicians in this Medicare group
Internal Medicine
1600 WALLACE BLVD
Amarillo, TX 79106
  • Reassigned Medicare billing, Texas enrollment
  • 151 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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
117 services117 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
46 services46 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Dr Dan C Trigg Memorial Hospital

Critical Access Hospitals · Tucumcari, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321302
Location301 East Miel De Luna AvenueTucumcari, NM 88401 · Quay County
Emergency services

Bsa Hospital

Acute Care Hospitals · Amarillo, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450231
Location1600 Wallace BlvdAmarillo, TX 79106 · Potter County
Emergency services Birthing friendly

Plains Memorial Hospital

Critical Access Hospitals · Dimmitt, TX
OwnershipGovernment - Local
CMS Certification Number451350
Location310 West Halsell StreetDimmitt, TX 79027 · Castro County

Golden Plains Community Hospital

Critical Access Hospitals · Borger, TX
OwnershipProprietary
CMS Certification Number451369
Location100 Medical DriveBorger, TX 79007 · Hutchinson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78216 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Adult Health)
5525 BLANCO RD STE 102
SAN ANTONIO, TX 78216
Family Medicine
5525 BLANCO RD STE 102
SAN ANTONIO, TX 78216

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 Anthony Oliva's NPI number?

The NPI number for Anthony Oliva is 1467569822. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Anthony Oliva located?

Anthony Oliva practices at 5525 Blanco Rd Ste 102, San Antonio, TX 78216. The listed phone number is (210) 474-6020.

What is Anthony Oliva's specialty?

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

Is Anthony Oliva enrolled in Medicare?

Yes. Anthony Oliva 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 organizations bill Medicare for Anthony Oliva's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Oliva reassigns Medicare benefits to 3 organizations: North Star Holistics, LLC (San Antonio, TX), Southwest Medical Associates, Inc. (Electra, TX) and Bsa Physicians Group Inc (Amarillo, TX). Each 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 Anthony Oliva's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Oliva accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Anthony Oliva 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 Anthony Oliva affiliated with any hospitals?

According to CMS data, Anthony Oliva is affiliated with Dr Dan C Trigg Memorial Hospital, Bsa Hospital, Plains Memorial Hospital and Golden Plains Community Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Oliva was last updated on August 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.