Active NPI
Rolf H O Holle, M.D.
- Sleep Medicine (Internal Medicine) Physician
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- 10654
- Practice address
- 1782 Elison LN Unit 3
Missoula, MT 59802-3684 - Phone
- (406) 544-1871
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 10654 | MT | |
| Pulmonary Disease Physician | 207RP1001X | 10654 | MT | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 10654 | MT | Primary |
Addresses
Primary practice location
1782 Elison LN Unit 3
Missoula, MT 59802-3684
Mailing address
1782 Elison LN Unit 3
Missoula, MT 59802-3684
Phone (406) 544-1871
Other practice location 1
500 West Broadway
Missoula, MT 59802-4008
Phone (406) 721-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0082280 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041007000332 | MT | Practitioner - Pulmonary Disease | 2961461744 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10654 | MT | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients |
Locations
1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823
1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211
500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945
500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nephrology Physician
- Hamilton, MT
- NPI 1235997958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519948800000",
"number": "1013963958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1782 ELISON LN UNIT 3",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598023684",
"telephone_number": "406-544-1871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1782 ELISON LN UNIT 3",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598023684",
"telephone_number": "406-544-1871"
}
],
"practiceLocations": [
{
"address_1": "500 West Broadway",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598024008",
"country_code": "US",
"telephone_number": "406-721-5600",
"fax_number": "406-721-3907",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLE",
"first_name": "ROLF",
"middle_name": "H O",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2018-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MT",
"license": "10654",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MT",
"license": "10654",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "MT",
"license": "10654",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0082280",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.