Individual provider Active NPI

Marston Shaun Holt, M.D.

  • Orthopaedic Surgery Physician
  • Houston, TX
National Provider Identifier
1275533457
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
L9738 Issued in TX
Practice address
1045 Gemini St Ste 100
Houston, TX 77058-2705
Phone
(281) 335-1111
Fax
(281) 286-9250
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X L9738 TX Primary

Addresses

Primary practice location

1045 Gemini St Ste 100
Houston, TX 77058-2705

Mailing address

1045 Gemini St Ste 100
Houston, TX 77058-2705
Phone (281) 335-1111

Other identifiers 1

IdentifierTypeStateIssuer
TXB123623OtherTXMEDICARE PTAN

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
I20041129000963 TX Practitioner - Orthopedic Surgery 6507821741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Toledo College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marston Shaun Holt MD PAGroup PAC ID 1456534288, 14 clinicians

Practice addresses (Care Compare)

1045 Gemini St
Suite 100
Houston, TX 77058-2806
Phone (281) 335-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)198

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L9738TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
All American Orthopedic and Sports Medicine Institute PLLC Orthopaedic Surgery CurrentSince May 23, 2011 Accepting new patients
Marston Shaun Holt MD PA Orthopaedic Surgery CurrentSince Apr 12, 2006 Accepting new patients
Mississippi Sports Medicine & Orthopaedic Center Orthopaedic Surgery Past Accepting new patients

Locations

1045 Gemini St
Ste 100
Houston, TX 77058
Phone (281) 335-1111

1100 Hercules Ave
Ste 100
Houston, TX 77058
Phone (281) 333-4705

Interoperability endpoints

  • Direct secure messaging: mholt468712@direct.stlukeshealth.org
  • Direct secure messaging: sholt@aaosmi.ce.directmessaging.net

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1275533457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 GEMINI ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582705",
            "telephone_number": "281-335-1111",
            "fax_number": "281-286-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 GEMINI ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582705",
            "telephone_number": "281-335-1111",
            "fax_number": "281-286-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "MARSTON",
        "middle_name": "SHAUN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "L9738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB123623",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.