Individual provider Active NPI

Henry Ernest Holets, M.D

  • Family Medicine Physician
  • Monongahela, PA
National Provider Identifier
1083638043
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
017917E Issued in PA
Practice address
1290 Chess St
Monongahela, PA 15063-2716
Phone
(724) 258-7500
Fax
(724) 258-3618
NPI assigned
Jul 26, 2006
Last updated
Dec 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 017917E PA Primary

Addresses

Primary practice location

1290 Chess St
Monongahela, PA 15063-2716

Mailing address

1290 Chess St
2ND Floor
Monongahela, PA 15063-2716
Phone (724) 258-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110103000869 PA Practitioner - Family Practice 1355338823

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pittsburgh School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1290 Chess St
Suite 2
Monongahela, PA 15063-2747

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
017917EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monongahela Valley Hospital, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1083638043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 CHESS ST",
            "address_2": "2ND FLOOR",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150632716",
            "telephone_number": "724-258-7500",
            "fax_number": "724-258-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 CHESS ST",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150632716",
            "telephone_number": "724-258-7500",
            "fax_number": "724-258-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLETS",
        "first_name": "HENRY",
        "middle_name": "ERNEST",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "017917E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monongahela, PA

Sources for this page

Verify at the official NPI Registry.