Individual provider Active NPI

Holly Stemen Holm, M.D.

  • Ophthalmology Physician
  • Brighton, MI
National Provider Identifier
1114989035
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
HH055985 Issued in MI
Practice address
10201 Grand River Rd.
Brighton, MI 48116
Phone
(810) 229-3363
Fax
(810) 229-5532
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X HH055985 MI Primary

Addresses

Primary practice location

10201 Grand River Rd.
Brighton, MI 48116

Mailing address

10201 Grand River Rd.
Brighton, MI 48116
Phone (810) 229-3363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20071005000585 MI Practitioner - Ophthalmology 0345335253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northeastern Ohio University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kensington Ophthalmology PLCGroup PAC ID 2769577683, 3 clinicians

Practice addresses (Care Compare)

10201 E Grand River Ave
Brighton, MI 48116-9591

10201 E Grand River Rd
Brighton, MI 48116-9591

10201 Grand River Rd
Brighton, MI 48116-9591
Phone (810) 229-3363

Merit-based Incentive Payment System (MIPS)

Final score
92.76 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery136

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
HH055985MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kensington Ophthalmology PLC Ophthalmology CurrentSince Sep 17, 2007 Accepting new patients

Locations

10201 Grand River Rd
Brighton, MI 48116
Phone (810) 229-3363

3901 W 13 Mile Rd
Royal Oak, MI 48073

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1114989035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 GRAND RIVER RD.",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "48116",
            "telephone_number": "810-229-3363",
            "fax_number": "810-229-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 GRAND RIVER RD.",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "48116",
            "telephone_number": "810-229-3363",
            "fax_number": "810-229-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLM",
        "first_name": "HOLLY",
        "middle_name": "STEMEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "HH055985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.