ENRIQUE B OLIVARES (MD) – Psychiatry Physician, NPI 1053309674

ENRIQUE B OLIVARES (MD) is a healthcare provider. based in Baltimore, Maryland. specializing in PSYCHIATRY, ADDICTION MEDICINE. They hold the professional credentials MD. They hold a License No. DOO46313 (MD). The NPI Number for ENRIQUE B OLIVARES (MD) is 1053309674

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
ENRIQUE B OLIVARES (MD)
NPI
1053309674
Phone
(410) 355-1532
Address
723 E PATAPSCO AVE
Enumeration Date
7 October 2005
Last Update Date
2 January 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4434335900
Graduation Year
1987 (39 years ago)
PAC ID
2769460856
Group Practice PAC ID
8123197050
Professional Enrollment ID
I20040713001682
Address ID
MD210371102ED2600XRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

840 PSYCHIATRY in MD

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Provider Addresses for ENRIQUE B OLIVARES (MD)

  • 723, East Patapsco Avenue, Brooklyn, Baltimore, Maryland, 21225, United States

    BALTIMORE, MD 212251934

    Phone: (410) 355-1532

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-02-28 • Largest payer in this snapshot: Indivior Inc. ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Indivior Inc.$27
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-07-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040713001682IPsychiatryMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21225)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123197050View full group profile
NameSpecialtyState
Clinical Social WorkerMD
Clinical Social WorkerMD
Mental Health CounselorMD
Nurse PractitionerVA
-MD
-MD
Mental Health CounselorMD
Clinical Social WorkerMD
Mental Health CounselorMD
Nurse PractitionerMD

Reviews

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Frequently asked questions

How do I look up ENRIQUE B OLIVARES (MD) by NPI?
Use NPI 1053309674 when you need to reference ENRIQUE B OLIVARES (MD) in forms, claims, or directories.
Is ENRIQUE B OLIVARES (MD) currently active in the NPI registry?
CMS-published data lists ENRIQUE B OLIVARES (MD) as an active registrant.
What does ENRIQUE B OLIVARES (MD) treat or focus on?
Patients typically see ENRIQUE B OLIVARES (MD) under the specialty Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where does public data place ENRIQUE B OLIVARES (MD)?
The snapshot lists Baltimore, Maryland for ENRIQUE B OLIVARES (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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