NPIMap

Individual provider Active NPI

Regan C Holdridge, MD

  • Hematology & Oncology Physician
  • Henderson, NV
National Provider Identifier
1093937054
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
12846 Issued in NV
Practice address
1505 Wigwam Pkwy Ste 130
Henderson, NV 89074-8195
Phone
(702) 856-1400
Fax
(702) 856-1407
NPI assigned
May 2, 2007
Last updated
Feb 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 042-0011321 VT
Hematology & Oncology Physician 207RH0003X 12846 NV Primary
Medical Oncology Physician 207RX0202X 12846 NV

Addresses

Primary practice location

1505 Wigwam Pkwy Ste 130
Henderson, NV 89074-8195

Mailing address

400 N Stephanie St Ste 300
Henderson, NV 89014-6692
Phone (702) 952-3350

Other identifiers 1

IdentifierTypeStateIssuer
371315MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081103000738 NV Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Hematology 4789783309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of Vermont College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allison Curtis Kingsley Meoz Michael and Sanchez PCGroup PAC ID 1254224280, 72 clinicians

Practice addresses (Care Compare)

1505 Wigwam Pkwy
Suite 130
Henderson, NV 89074-8195
Phone (702) 856-1400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.34 of 100Reported as individual
Quality
71.83
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042-0011321VTMDInternal Medicine Physician
12846NVMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allison Curtis Kingsley Meoz Michael & Sanchez PC Hematology & Oncology CurrentSince Oct 1, 2008 Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
North Vista Hospital LLC Past Accepting new patients
Southwestern Vermont Medical Center Inc Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients

Locations

1505 Wigwam Pkwy
Ste 130
Henderson, NV 89074
Phone (702) 856-1400

400 N Stephanie St
Ste 300
Henderson, NV 89014
Phone (702) 952-3350

Interoperability endpoints

  • Direct secure messaging: regan.holdridge@cccn.ikm.direct-ci.com

Organizations & group practices 5

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 3

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1093937054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N STEPHANIE ST STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146692",
            "telephone_number": "702-952-3350",
            "fax_number": "702-952-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WIGWAM PKWY STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748195",
            "telephone_number": "702-856-1400",
            "fax_number": "702-856-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDRIDGE",
        "first_name": "REGAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "042-0011321",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NV",
            "license": "12846",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NV",
            "license": "12846",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371315",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.