Individual provider Active NPI

Thomas D Holley, MD

  • Urology Physician
  • Homewood, AL
National Provider Identifier
1205026846
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
28718 Issued in AL
Practice address
3485 Independence Dr
Homewood, AL 35209-5603
Phone
(205) 930-0920
Fax
(205) 445-0115
NPI assigned
Jul 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 28718 AL Primary

Addresses

Primary practice location

3485 Independence Dr
Homewood, AL 35209-5603

Mailing address

3485 Independence Dr
Homewood, AL 35209-5603
Phone (205) 930-0920

Other identifiers 3

IdentifierTypeStateIssuer
0366100001OtherMC NSC
0366100001OtherALCIGNA GOV SERVICE PTAN
101969MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20080612000541 AL Practitioner - Urology 0941371389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Alabama School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Centers of Alabama, PCGroup PAC ID 0941264345, 60 clinicians

Practice addresses (Care Compare)

3125 Independence Dr
Suite 200
Birmingham, AL 35209-4164
Phone (205) 930-0920

3485 Independence Dr
Homewood, AL 35209-5603
Phone (205) 930-0920

Hospital & facility affiliations

  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

Merit-based Incentive Payment System (MIPS)

Final score
83.04 of 100Reported as group
Quality
68.83
Promoting interoperability
89
Improvement activities
40
Cost
83.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28718ALMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Centers of Alabama PC Urology CurrentSince Jul 1, 2008 Accepting new patients
Urology Centers of Alabama PC CurrentSince Jul 1, 2008 Accepting new patients
Affinity Urology ASC, LLC PastSince Dec 31, 2022 Accepting new patients

Locations

3686 Grandview Pkwy
Ste 500
Birmingham, AL 35243
Phone (205) 802-2000

2700 10th Ave S
Ste 505
Birmingham, AL 35205
Phone (205) 933-1573

3489 Independence Dr
Birmingham, AL 35209

2217 Decatur Hwy
Gardendale, AL 35071
Phone (205) 418-1200

3485 Independence Dr
Homewood, AL 35209

Interoperability endpoints

  • Direct secure messaging: thomasholley@uca.allscriptsdirect.net

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1205026846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 INDEPENDENCE DR",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352095603",
            "telephone_number": "205-930-0920",
            "fax_number": "205-445-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 INDEPENDENCE DR",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352095603",
            "telephone_number": "205-930-0920",
            "fax_number": "205-445-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "THOMAS",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "28718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC NSC",
            "identifier": "0366100001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOV SERVICE PTAN",
            "identifier": "0366100001",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101969",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

Verify at the official NPI Registry.