Active NPI
Roy W Holeyfield, MD
- Internal Medicine Physician
- Bellevue, NE
National Provider Identifier
1225127574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 15518
- Practice address
- 10135 S 25TH St
Ste a
Bellevue, NE 68123 - Phone
- (402) 292-3987
- Fax
- (402) 292-4034
- NPI assigned
- Oct 12, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 15518 | NE | Primary |
Addresses
Primary practice location
10135 S 25TH St
Ste a
Bellevue, NE 68123
Mailing address
10135 S 25TH St
Ste a
Bellevue, NE 68123
Phone (402) 292-3987
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47063291413 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Plains Internal Medicine PC Mne | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Bellevue, NE
- NPI 1669671087
-
- Internal Medicine Physician
- Bellevue, NE
- NPI 1851336374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225127574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10135 S 25TH ST",
"address_2": "STE A",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "68123",
"telephone_number": "402-292-3987",
"fax_number": "402-292-4034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10135 S 25TH ST",
"address_2": "STE A",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "68123",
"telephone_number": "402-292-3987",
"fax_number": "402-292-4034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLEYFIELD",
"first_name": "ROY",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "15518",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47063291413",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.