DR. ALFONSO OLIVA (MD) – Plastic Surgery Physician, NPI 1093728784

DR. ALFONSO OLIVA (MD) is a healthcare provider. based in Spokane, Washington. specializing in Plastic Surgery Physician. They hold the professional credentials MD. They hold a License No. 91-1722209 (WA). The NPI Number for DR. ALFONSO OLIVA (MD) is 1093728784

Main info

Male
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALFONSO OLIVA (MD)
NPI
1093728784
Phone
(509) 838-1010
Address
530 S COWLEY ST STE 140
Enumeration Date
14 August 2006
Last Update Date
18 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
5098387028
Graduation Year
1982 (44 years ago)
PAC ID
4082666797
Group Practice PAC ID
8022105329
Professional Enrollment ID
I20050210000507

Contacts

Secure Messaging
aoliva320055@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

Provider Addresses for DR. ALFONSO OLIVA (MD)

  • 530 S COWLEY ST STE 140

    SPOKANE, WA 992021316

    Phone: (509) 838-1010

    Fax: (509) 777-1070

    Type: Location

  • 530, South Cowley Street, Spokane, Spokane County, Washington, 99202, United States

    SPOKANE, WA 992021316

    Phone: (509) 838-1010

    Fax: (509) 777-1070

    Type: Mailing

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 $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-04-18 • Largest payer in this snapshot: ABBVIE INC. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$23
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: 2005-02-10

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
I20050210000507IPlastic And Reconstructive SurgeryWATBD

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 99202)

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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: 8022105329View full group profile
NameSpecialtyState
Physician AssistantWA
Plastic And Reconstructive SurgeryUT
Plastic And Reconstructive SurgeryWA
Hand Surgery, Plastic And Reconstructive SurgeryWA
Physician AssistantWA
Physician AssistantWA
Plastic And Reconstructive SurgeryWA
Physician AssistantWA
Plastic And Reconstructive SurgeryWA

Reviews

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Frequently asked questions

What number should I use to identify DR. ALFONSO OLIVA (MD) for billing?
Administrative and clinical systems typically use NPI 1093728784 for DR. ALFONSO OLIVA (MD).
Does the public listing show DR. ALFONSO OLIVA (MD) as active?
DR. ALFONSO OLIVA (MD)'s NPI record reflects an active status in NPPES.
What type of care does DR. ALFONSO OLIVA (MD) provide?
DR. ALFONSO OLIVA (MD)'s profile centers on Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. ALFONSO OLIVA (MD)?
The directory associates DR. ALFONSO OLIVA (MD) with Spokane, Washington. Check all listed addresses for suites or satellite offices.
Who maintains DR. ALFONSO OLIVA (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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