Active NPI
Caleb Holder
- Family Medicine Physician
- West Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO-06358
- Practice address
- 5950 University Ave Ste 220
West Des Moines, IA 50266-8231 - Phone
- (515) 875-9410
- Fax
- (515) 875-9412
- NPI assigned
- Jun 25, 2019
- Last updated
- Dec 29, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 94-10060 | KS | |
| Family Medicine Physician | 207Q00000X | DO-06358 | IA | Primary |
Addresses
Primary practice location
5950 University Ave Ste 220
West Des Moines, IA 50266-8231
Mailing address
PO Box 424
Des Moines, IA 50302-0424
Phone (515) 875-9255
Other practice location 1
1010 N Kansas St
Wichita, KS 67214-3124
Phone (316) 858-3460
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | calebholder@tic.allscriptsdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Alabama College of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5950 University Ave
Suite 220
West Des Moines, IA 50266-8231
Phone (515) 875-9100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Iowa Clinic PC | Family Medicine | Current | Accepting new patients |
| The Iowa Clinic, PC | Current | Accepting new patients |
Locations
1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589
5950 University Ave
Ste 220
West Des Moines, IA 50266
Phone (515) 875-9410
Interoperability endpoints
- calebholder@tic.allscriptsdirect.net
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.
-
- Durable Medical Equipment & Medical Supplies
- West Des Moines, IA
- NPI 1871451328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703808000000",
"number": "1336700830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 424",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503020424",
"telephone_number": "515-875-9255",
"fax_number": "515-875-9923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5950 UNIVERSITY AVE STE 220",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502668231",
"telephone_number": "515-875-9410",
"fax_number": "515-875-9412"
}
],
"practiceLocations": [
{
"address_1": "1010 N Kansas St",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672143124",
"country_code": "US",
"telephone_number": "316-858-3460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLDER",
"first_name": "CALEB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-25",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "94-10060",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "DO-06358",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "calebholder@tic.allscriptsdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5950 University Ave Ste 220",
"city": "West Des Moines",
"state": "IA",
"country_code": "US",
"postal_code": "502668231",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.