NPIMap

Individual provider Active NPI

Timothy Holahan, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Rochester, NY
National Provider Identifier
1346483930
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
270286 Issued in NY
Practice address
1000 South Ave # 58
Rochester, NY 14620-2733
Phone
(585) 341-0456
Fax
(585) 341-8096
NPI assigned
Apr 12, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 270286 NY Primary

Addresses

Primary practice location

1000 South Ave # 58
Rochester, NY 14620-2733

Mailing address

1000 South Ave # 58
Rochester, NY 14620-2733

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tholahan73511@direct.urmc.rochester.edu Direct
Direct Messaging Address tholahan73511@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140620000879 NY Practitioner - Geriatric MedicinePractitioner - Internal Medicine 4183848799 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Hospital of RochesterGroup PAC ID 5496641631, shared by 4 NPIs, 403 clinicians

Practice addresses (Care Compare)

1000 S Ave
Rochester, NY 14620-2733
Phone (585) 473-2200

1177 E Henrietta Rd
Rochester, NY 14623-2616
Phone (585) 424-4770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.84 of 100Reported as group
Quality
68.36
Promoting interoperability
100
Improvement activities
40
Cost
81.1

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Monroe CurrentSince Jul 7, 2019 Accepting new patients
Highland Hospital of Rochester CurrentSince Jul 18, 2024 Accepting new patients
Highland Hospital of Rochester Current Accepting new patients
Highland Hospital of Rochester CurrentSince Jul 1, 2014 Accepting new patients
Highland Hospital of Rochester Current Accepting new patients
Highland Hospital of Rochester Geriatric Medicine CurrentSince Jul 1, 2014 Accepting new patients
County of Monroe CurrentSince Jul 7, 2019 Accepting new patients
County of Monroe Past Accepting new patients
CPR Associates LLC. Past Accepting new patients
Meadows at Westfall Inc Past Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

1000 South Ave
Rochester, NY 14620
Phone (585) 341-0366

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#320
Rochester, NY 14642

435 E Henrietta Rd
Rochester, NY 14620
Phone (585) 760-5466

1000 South Ave
#58
Rochester, NY 14620
Phone (585) 341-6776

1177 E Henrietta Rd
Rochester, NY 14623
Phone (585) 424-4770

Interoperability endpoints

  • Direct secure messaging: tholahan73511@direct.urmc.rochester.edu

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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": "1239494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1346483930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SOUTH AVE # 58",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146202733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SOUTH AVE # 58",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146202733",
            "telephone_number": "585-341-0456",
            "fax_number": "585-341-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLAHAN",
        "first_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-12",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "270286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tholahan73511@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tholahan73511@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.