Individual provider Active NPI

Alfred Mason Holden Jr., M.D.

  • Urology Physician
  • Dallas, TX
National Provider Identifier
1205899952
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
H8687 Issued in TX
Practice address
7777 Forest LN
Ste A230
Dallas, TX 75230-2571
Phone
(972) 566-7765
Fax
(972) 566-4656
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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 H8687 TX Primary

Addresses

Primary practice location

7777 Forest LN
Ste A230
Dallas, TX 75230-2571

Mailing address

3600 Gaston Ave
Suite 1205
Dallas, TX 75246-1800
Phone (214) 692-8262

Other identifiers 4

IdentifierTypeStateIssuer
113692105MedicaidTX
80423XOtherTXBCBS
113692104MedicaidTX
P00274705OtherTXRR MEDICARE

Other names 1

  • Mason Holden Jr. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20060118000326 TX Practitioner - Urology 1355365305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.14 of 100Reported as group
Quality
97.48
Promoting interoperability
100
Improvement activities
40
Cost
69.64

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Clinics of North Texas, PLLC CurrentSince Jan 1, 2006 Accepting new patients
Urology Clinics of North Texas, PLLC Urology CurrentSince Jan 1, 2006 Accepting new patients
Urology Clinics of North Texas, PLLC Urology Current Accepting new patients

Locations

8230 Walnut Hill Ln
Ste 700
Dallas, TX 75231

7777 Forest Ln
Ste A230
Dallas, TX 75230
Phone (972) 566-7765

3600 Gaston Ave
Ste 1205
Dallas, TX 75246

1650 Republic Pkwy
Ste 130
Mesquite, TX 75150

1650 Republic Pkwy
Ste 150
Mesquite, TX 75150
Phone (214) 692-8262

6124 W Parker Rd
Ste 434
Plano, TX 75093
Phone (214) 750-0808

Interoperability endpoints

  • Direct secure messaging: mholden@direct.uspi.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.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1205899952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "SUITE 1205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461800",
            "telephone_number": "214-692-8262",
            "fax_number": "214-696-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "STE A230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "972-566-7765",
            "fax_number": "972-566-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDEN",
        "first_name": "ALFRED",
        "middle_name": "MASON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "H8687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113692105",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80423X",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113692104",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00274705",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MASON",
            "last_name": "HOLDEN",
            "suffix": "JR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.