Active NPI
Minoo H Hollis, MD
- Orthopaedic Surgery Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME68641
- Practice address
- 5147 N 9TH Ave Ste 103
Pensacola, FL 32504-8770 - Phone
- (850) 494-9000
- Fax
- (850) 416-1912
- NPI assigned
- Oct 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME68641 | FL | Primary |
Addresses
Primary practice location
5147 N 9TH Ave Ste 103
Pensacola, FL 32504-8770
Mailing address
4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA, TX, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3704 Hwy 72 W
Corinth, MS 38834-8556
Phone (662) 286-1499
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acute Care Surgical Affiliates of Texas PA | Orthopaedic Surgery | Current | Accepting new patients |
| Bay Area Hospital District | Current | Accepting new patients | |
| Bay Area Hospital District | Current | Accepting new patients | |
| Orthoatlanta, LLC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
Dept LA 25339
Pasadena, CA 91185
2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411
1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090
600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511
Interoperability endpoints
- mhollis@direct.mhg.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 and National Provider Directory roles.
-
- Surgery Physician
- Corpus Christi, TX
- NPI 1407322415
Orthopaedic Surgery
-
dba Bay Area Hospital
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
-
- Internal Medicine Physician
- Corinth, MS
- NPI 1528592961
-
- Home Health Agency
- North Bend, OR
- NPI 1215018197
-
- Orthopaedic Surgery Physician
- Aiken, SC
- NPI 1427887157
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bay Area Hospital
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
-
- General Acute Care Hospital
- Corinth, MS
- NPI 1699756445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1215013552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 BELFORT RD STE 4015",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322163623",
"telephone_number": "904-450-6063",
"fax_number": "904-450-6401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5147 N 9TH AVE STE 103",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048770",
"telephone_number": "850-494-9000",
"fax_number": "850-416-1912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLIS",
"first_name": "MINOO",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-30",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME68641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.