Active NPI
Daniel Boyd Holtan, M.D.
- Family Medicine Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD17997
- Practice address
- 3720 Martin Luther King Jr Ave SE
Washington, DC 20032-1548 - Phone
- (202) 279-1800
- Fax
- (202) 279-4943
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD17997 | DC | Primary |
Addresses
Primary practice location
3720 Martin Luther King Jr Ave SE
Washington, DC 20032-1548
Mailing address
1220 12TH St SE
Washington, DC 20003-3722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- West Virginia University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1225 Martha Custis Dr
Suite C1
Alexandria, VA 22302-2040
Phone (703) 535-5568
2 E Glebe Rd
Alexandria, VA 22305-2938
Phone (703) 535-5568
Hospital & facility affiliations
- Virginia Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Health | Family Medicine | Current | Accepting new patients |
| Neighborhood Health | Current | Accepting new patients | |
| Neighborhood Health | Current | Accepting new patients |
Locations
6677 Richmond Hwy
Alexandria, VA 22306
1200 N Howard St
Alexandria, VA 22304
Phone (703) 519-5979
8119 Holland Rd
Alexandria, VA 22306
Phone (703) 360-6910
2 E Glebe Rd
Alexandria, VA 22305
Phone (703) 535-6913
2616 Sherwood Hall Ln
Ste 106
Alexandria, VA 22306
Phone (703) 360-0300
2100 Washington Blvd
Arlington, VA 22204
Phone (703) 228-1600
8221 Willow Oaks Corporate Dr
Ste 450
Fairfax, VA 22031
Phone (703) 237-3446
Interoperability endpoints
- daniel.holtan@nhnva.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Alexandria, VA
- NPI 1164620027
-
- Federally Qualified Health Center (FQHC)
- Arlington, VA
- NPI 1225899719
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Arlington, VA
- NPI 1790785996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340582400000",
"number": "1093862864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 12TH ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200033722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3720 MARTIN LUTHER KING JR AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200321548",
"telephone_number": "202-279-1800",
"fax_number": "202-279-4943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLTAN",
"first_name": "DANIEL",
"middle_name": "BOYD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2012-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DC",
"license": "MD17997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.