Individual provider Active NPI

Albert Edward Holt IV, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Jacksonville, FL
National Provider Identifier
1235126434
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME148102 Issued in FL
Practice address
945 Lane Ave S
Jacksonville, FL 32205-4706
Phone
(888) 831-2949
Fax
(833) 973-6210
NPI assigned
Oct 3, 2005
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D00612264 MD
Internal Medicine Physician 207R00000X 159488 MA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME148102 FL Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 159488 MA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X D0061264 MD

Addresses

Primary practice location

945 Lane Ave S
Jacksonville, FL 32205-4706

Mailing address

358 Plaza
Atlantic Beach, FL 32233-5442
Phone (888) 831-2949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D00612264MDMDInternal Medicine Physician
159488MAMDCritical Care Medicine (Internal Medicine) Physician
D0061264MDMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reza Health LLC CurrentSince Jul 10, 2026 Accepting new patients
Pulmonary Disease and Critical Care Associates, PA., Past Accepting new patients
East Bay Regional Critical Care and Pulmonary Medicine, Inc. Critical Care Medicine Past Accepting new patients
Premier Physician Group, LLC Internal Medicine Past Accepting new patients
Intensimed, LLC Critical Care Medicine Past Accepting new patients
Pulmonary Disease and Critical Care Associates, P.a. Past Accepting new patients

Locations

945 Lane Ave S
Jacksonville, FL 32205
Phone (888) 831-2949

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/33133/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1235126434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 PLAZA",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322335442",
            "telephone_number": "888-831-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 LANE AVE S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322054706",
            "telephone_number": "888-831-2949",
            "fax_number": "833-973-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "ALBERT",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D00612264",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "159488",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME148102",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MA",
            "license": "159488",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MD",
            "license": "D0061264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.