Individual provider Active NPI

Steven Carl Hollis, MD

  • Orthopaedic Surgery Physician
  • Beverly, MA
National Provider Identifier
1356431753
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
71371 Issued in MA
Practice address
77 Herrick St
Suite 201 the Medical Building
Beverly, MA 01915
Phone
(978) 927-3040
Fax
(978) 927-0443
NPI assigned
Oct 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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 71371 MA Primary

Addresses

Primary practice location

77 Herrick St
Suite 201 the Medical Building
Beverly, MA 01915

Mailing address

77 Herrick St
Suite 201 the Medical Building
Beverly, MA 01915
Phone (978) 927-3040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20051105000178 MA Practitioner - Orthopedic Surgery 3274551528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
George Washington University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Orthopedic Associates IncGroup PAC ID 8325101637, 21 clinicians

Practice addresses (Care Compare)

1 Blackburn Dr
Gloucester, MA 01930-2292
Phone (978) 927-3040

152 Conant St
Suite 301
Beverly, MA 01915-1659
Phone (978) 927-3040

99 Conifer Hill Dr
Suite 204
Danvers, MA 01923-1194
Phone (978) 927-3040

Hospital & facility affiliations

  • Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement12
Knee replacement1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71371MAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Orthopedic Associates Inc Orthopaedic Surgery CurrentSince Jul 19, 1989 Accepting new patients
Coastal Orthopedic Associates Inc Orthopaedic Surgery CurrentSince Jul 19, 1989 Accepting new patients

Locations

77 Herrick St
Ste 201
Beverly, MA 01915
Phone (978) 927-3040

152 Conant St
Ste 301
Beverly, MA 01915
Phone (978) 927-3040

77 Herrick St
Beverly, MA 01915
Phone (978) 927-3040

77 Herrick St
Ste 101
Beverly, MA 01915
Phone (978) 232-7115

480 Maple St
Danvers, MA 01923
Phone (978) 304-8380

99 Conifer Hill Dr
Ste 204
Danvers, MA 01923
Phone (978) 927-3040

1 Blackburn Dr
Gloucester, MA 01930
Phone (978) 282-3698

Interoperability endpoints

  • Direct secure messaging: steven.hollis.1@30242.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1356431753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 HERRICK ST",
            "address_2": "SUITE 201 THE MEDICAL BUILDING",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-927-3040",
            "fax_number": "978-927-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HERRICK ST",
            "address_2": "SUITE 201 THE MEDICAL BUILDING",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-927-3040",
            "fax_number": "978-927-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "STEVEN",
        "middle_name": "CARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-14",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "71371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.