Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Daniel Olivero, MD

Individual provider Family Medicine Physician · NPI 1902144512

Dr. Daniel Olivero, MD is an Internal Medicine in Port Matilda, Pennsylvania. Qualified in 2012, 14 years ago. Licensed in Alaska, Alabama, Arkansas and Arizona and 8 more.

Years since qualifying
14
Licensed in
AK, AL, AR, AZ, CA, CO
In the registry since
2013
Specialties on file
15
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1243 Skytop Mountain Rd Ste 4
Port Matilda, PA 16870-7725
Phone: (602) 400-3283
Fax: (814) 584-5751
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD455879 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence C1-0026012 (DE)
Family Medicine Physician Taxonomy 207Q00000X · Licence E-16741 (AR)
Internal Medicine Physician Taxonomy 207R00000X · Licence 67578 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 207870 (AK)
Family Medicine Physician Taxonomy 207Q00000X · Licence 333693 (LA)
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X · Licence 2023-00319 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD210011928 (DC)
Family Medicine Physician Taxonomy 207Q00000X · Licence C184112 (CA)
Hospitalist Physician Taxonomy 208M00000X · Licence MD455879 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 46215 (AL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 074004 (CT)
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X · Licence MD455879 (PA)
Pediatrics Physician Taxonomy 208000000X · Licence MD455879 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence CDR.0002656 (CO)

Record details

NPI number1902144512
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 17, 2013
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026
Mailing address1243 Skytop Mountain Rd Ste 4, Port Matilda, PA 16870-7725

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated
Practice locations6 on file with Medicare

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