Individual provider Active NPI

Daniel Boyd Holtan, M.D.

  • Family Medicine Physician
  • Washington, DC
National Provider Identifier
1093862864
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD17997 Issued in DC
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

Updated by the provider on Jun 25, 2012

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071026000237 DC Practitioner - Family Practice 9638266489 Reassigns benefits to 1 organization

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
Neighborhood HealthGroup PAC ID 7517853419, 48 clinicians

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 Hospital, Arlington, VA, CCN 490050

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Family Medicine CurrentSince Jul 25, 2016 Accepting new patients
Neighborhood Health CurrentSince Jul 25, 2016 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.