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J OLIVIERI PROFESSIONAL HEALTH NETWORK LLC
NPI 1821386905
Internal Medicine in Mesquite, TX

Active since July 11, 2011CLIA 45D0967274 · Waiver
3224 I 30 STE 118, MESQUITE, TX 75150(972) 697-8580(214) 602-7505 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About J Olivieri Professional Health Network Llc NPPES

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

J OLIVIERI PROFESSIONAL HEALTH NETWORK LLC (NPI 1821386905) is a healthcare organization registered as an internal medicine in Mesquite, Texas and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through November 7, 2027, maintains a secondary practice location in Dallas, and lists Julio Cesar Olivieri, President, as its authorized official.

NPPES Registry Identity

NPI1821386905
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJ OLIVIERI PROFESSIONAL HEALTH NETWORK LLC
Location Address3224 I 30 STE 118Mesquite, TX 75150-2693
Mailing Address4512 Ralph LnDallas, TX 75227-1845 · (214) 381-1910 · Fax (214) 381-2868
Phone(972) 697-8580
Fax(214) 602-7505
Organization SubpartNo
Authorized OfficialJulio Cesar OlivieriPresident · (214) 381-1910
Enumeration DateJuly 11, 2011
Last NPPES UpdateJuly 3, 2025
NPPES CertifiedJuly 3, 2025
✔ NPI 1821386905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
3224 I 30 STE 118, Mesquite, TX 75150
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Secondary Practice Location 1

Location 14512 Ralph LnDallas, TX 75227-1845 · Phone (214) 381-1910 · Fax (214) 381-2868

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

J Olivieri Professional Health Network Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to J Olivieri Professional Health Network LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Julio Olivieri, M.D.
Internal Medicine
NPI 1881605780
3224 I 30 STE 118
Mesquite, TX 75150
(972) 697-8580
✔ PECOS✔ Accepts MedicareSame address
Kashaelyn Hollins Henderson, FNP-C
Nurse Practitioner
NPI 1912493230
3900 N TARRANT PKWY STE 104
Fort Worth, TX 76244
(682) 333-1804
✔ PECOS✔ Accepts Medicare39 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0967274

J Olivieri Professional Health Network · Mesquite, TX
Active · expires Nov 7, 2027
CLIA Number45D0967274
Laboratory TypePractitioner Other
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorJulio C. Olivieri
Laboratory Phone(972) 697-8580
Laboratory LocationJ Olivieri Professional Health Network3224 Interstate 30 E Suite 119, Mesquite, TX 75150
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 J Olivieri Professional Health Network LLC's NPI number?

The NPI number for J Olivieri Professional Health Network LLC is 1821386905. It was assigned to this organization in the NPPES registry on July 11, 2011.

Where is J Olivieri Professional Health Network LLC located?

J Olivieri Professional Health Network LLC is located at 3224 I 30 Ste 118, Mesquite, TX 75150. The listed phone number is (972) 697-8580.

What is J Olivieri Professional Health Network LLC's specialty?

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

Is J Olivieri Professional Health Network LLC enrolled in Medicare?

Yes. J Olivieri Professional Health Network LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through J Olivieri Professional Health Network LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to J Olivieri Professional Health Network LLC, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does J Olivieri Professional Health Network LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0967274) is associated with this NPI, valid through November 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for J Olivieri Professional Health Network LLC was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.