Grady Michael Holder, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DR.0028219 Issued in CO

Practice address

11005 Ralston Rd
Suite 100G
Arvada, CO 80004-4551

Phone

(303) 431-0844

Fax

(303) 456-6124

NPI assigned

Sep 26, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mr. Michael Holder Other name

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Metro Community Provider Network Inc

  dba STRIDE Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Aurora, CO
  • NPI 1558727883
  Medicare reassignment NPD
• Metro Community Provider Network Inc

  dba STRIDE Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Arvada, CO
  • NPI 1376701300
  NPD
• Metro Community Provider Network, Inc.

  dba STRIDE CHC - Peoria Pharmacy

  • Community/Retail Pharmacy
  • Aurora, CO
  • NPI 1255591780
  NPD
• Harvard Park Medical Associates

  • Family Medicine Physician
  • Denver, CO
  • NPI 1669656591
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1366543902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 S BROADWAY",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133611",
            "telephone_number": "303-360-6276",
            "fax_number": "303-467-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11005 RALSTON RD",
            "address_2": "SUITE 100G",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044551",
            "telephone_number": "303-431-0844",
            "fax_number": "303-456-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "GRADY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0028219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01282193",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10354697",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "HOLDER",
            "prefix": "MR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thia Janai Hoffman, CERTIFIED OPHTH TECH
• Alan Ross Hofman, PT, DPT
• Kalyn Ruby Hogan, BCBA
• Donald Hogue, DDS
• Teresa L Hoke-Schaefer, RPH
• Lynette M Holland, RDH
• Tameira Lee Hollander, MD
• Cathelyne Elisabeth Hollibaugh, M.A., CCC-SLP
• Caron Holmes, DDS
• James R Holmes

• Family Medicine Physician in Arvada, CO
• Providers in Arvada, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.