Michael B Holliday, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35075065 Issued in OH

Practice address

11590 Century Blvd
Cincinnati, OH 45246-3326

Phone

(513) 648-9077

Fax

(513) 648-9554

NPI assigned

Jun 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Family Practice

Education

University of Cincinnati College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kentucky Rehabilitation Services, Inc.Group PAC ID 8224096474, 142 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mholliday12288@direct.uchealth.com

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.

• University of Cincinnati Physicians Company, LLC

  • Family Medicine Physician
  • Cincinnati, OH
  • NPI 1801840434
  Medicare reassignment NPD
• Kentucky Rehabilitation Services Inc

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Crescent Springs, KY
  • NPI 1790780617
  Care Compare group
• Kenwood Hospitalists, LLC

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1912953951
  NPD (past)
• Mercy Health Physicians Cincinnati LLC

  dba Mercy Health - Orthopaedics and Spine, Liberty Falls

  • Durable Medical Equipment & Medical Supplies
  • Liberty Township, OH
  • NPI 1790281517
  NPD (past)
• Montgomery Hospitalists LLC

  • Hospitalist Physician
  • Cincinnati, OH
  • NPI 1013158815
  NPD (past)

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

{
    "created_epoch": "1119052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1225033962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636256 CENTRAL CREDENTIALING",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636256",
            "telephone_number": "513-585-5501",
            "fax_number": "513-585-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11590 CENTURY BLVD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463326",
            "telephone_number": "513-648-9077",
            "fax_number": "513-648-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIDAY",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-18",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35075065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2185282",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camille Holliday
• Dimitri Holliday
• Diondra Rose Holliday, LSW
• Justine Holliday
• Lexie Lynette Holliday, BCBA
• Candiss Hollie, LSW
• Christopher L Hollie Sr., L.P.N- E.M.T-B
• Eric J. Hollie, LISW-S
• Ashley Hollingsworth
• Macey Renee Hollingsworth

• Family Medicine Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.

Verify at the official NPI Registry.