Individual provider Active NPI

Michael R. Holland, M.D.

  • Specialist
  • Jennings, LA
National Provider Identifier
1366436891
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
09408R Issued in LA
Practice address
1 Hospital Drive
Suite 100
Jennings, LA 70546
Phone
(337) 824-3819
Fax
(337) 824-0160
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 09408R LA Primary

Addresses

Primary practice location

1 Hospital Drive
Suite 100
Jennings, LA 70546

Mailing address

1 Hospital Drive
Suite 100
Jennings, LA 70546
Phone (337) 824-3819

Other identifiers 1

IdentifierTypeStateIssuer
1951536MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20040325000925 LA Practitioner - Orthopedic Surgery 7618869785 Reassigns benefits to 2 organizations
Practice locations: Jennings, LA

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Louisiana State University School of Medicine in New Orleans, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Michael R Holland MD IncGroup PAC ID 2961523766, 2 clinicians
Lake Charles Medical Services Orthopedics Associates LLCGroup PAC ID 9638265697, 13 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Suite 100
Jennings, LA 70546-3641
Phone (337) 824-3819

1717 Oak Park Blvd
FL 3
Lake Charles, LA 70601-8990
Phone (337) 494-4900

Hospital & facility affiliations

  • Jeff Davis MD Homecare Home health agency, Jennings, LA, CCN 197039
  • Nursing Specialties Home health agency, Lafayette, LA, CCN 197297
  • Professional HHS of Southwest Louisiana Home health agency, Crowley, LA, CCN 197024
  • Allegiance Home Health of South Louisiana Home health agency, Eunice, LA, CCN 197890
  • Acadia General Hospital Hospital, Crowley, LA, CCN 190044
  • Ochsner American Legion Hospital Hospital, Jennings, LA, CCN 190053
  • Acadian Medical Center Hospital, Eunice, LA, CCN 190318
  • Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060
  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement20
Knee replacement34
Spinal fusion1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)12
Upper limb (arm) arthroscopy (minimally invasive joint repair)16
Laminectomy or laminotomy (partial removal of spine bones)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09408RLAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael R. Holland, M.D., Inc. Specialist CurrentSince Oct 10, 1997 Accepting new patients
Lake Charles Medical Services Orthopedics Associates LLC Orthopaedic Surgery CurrentSince Jan 1, 2026 Accepting new patients

Locations

1 Hospital Dr
Ste 100
Jennings, LA 70546
Phone (337) 824-3819

1717 Oak Park Blvd
Fl 3
Lake Charles, LA 70601
Phone (337) 494-4900

4345 Nelson Rd
Lake Charles, LA 70605
Phone (337) 480-7900

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rehabilitation Hospital of JenningsJennings, LA, CCN 193067 Hospital General Partnership Interest (53.88%)
Corporate Director
Feb 22, 2001
Dec 18, 2007

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 11

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1366436891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DRIVE",
            "address_2": "SUITE 100",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "70546",
            "telephone_number": "337-824-3819",
            "fax_number": "337-824-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DRIVE",
            "address_2": "SUITE 100",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "70546",
            "telephone_number": "337-824-3819",
            "fax_number": "337-824-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "MICHAEL",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "09408R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1951536",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jennings, LA

Sources for this page

Verify at the official NPI Registry.