Individual provider Active NPI

Allen D Holder, MD

  • Emergency Medicine Physician
  • San Antonio, TX
National Provider Identifier
1386723815
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M6193 Issued in TX
Practice address
4204 Gardendale Street
Suite 312
San Antonio, TX 78229-3141
Phone
(210) 293-6006
Fax
(210) 614-1722
NPI assigned
Nov 3, 2006
Last updated
May 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 222071 NY
Emergency Medicine Physician 207P00000X M6193 TX Primary

Addresses

Primary practice location

4204 Gardendale Street
Suite 312
San Antonio, TX 78229-3141

Mailing address

4204 Gardendale Street
Suite 312
San Antonio, TX 78229-3141
Phone (210) 293-6006

Other identifiers 1

IdentifierTypeStateIssuer
186351604MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070727000286 TX Practitioner - Emergency Medicine 1557462017 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.86 of 100Reported as group
Quality
92.78
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
222071NYMDEmergency Medicine Physician
M6193TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Emergency Partners LLC Emergency Medicine CurrentSince Aug 18, 2017 Accepting new patients
Cec Alamo Heights ER Physicians PLLC CurrentSince Jun 23, 2022 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Victoria Emergency Associates LLC Emergency Medicine CurrentSince Jun 19, 2020 Accepting new patients
Lone Star Emergency Associates LLC Emergency Medicine CurrentSince Jun 19, 2020 Accepting new patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Essential Med Clinic Past Accepting new patients
Alamo Heights Complete Care LLC Past Accepting new patients
2013 Broadway Emergency Care LLC Past Accepting new patients
Third Coast Emergency Physicians Sid Peterson PA Emergency Medicine Past Accepting new patients

Locations

2860 S Gordon St
Alvin, TX 77511
Phone (218) 968-7500

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

12285 Bandera Rd
Helotes, TX 78023
Phone (210) 575-2285

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

13434 Nacogdoches Rd
San Antonio, TX 78217
Phone (210) 447-7560

3154 SE Military Dr
Ste 103
San Antonio, TX 78223
Phone (210) 337-0911

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

6402 Mallard Mdw
San Antonio, TX 78244
Phone (210) 757-5000

6496 N New Braunfels Ave
San Antonio, TX 78209
Phone (210) 930-4500

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

1200 Carl Ramert Dr
Yoakum, TX 77995
Phone (361) 293-2321

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20373/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1386723815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 GARDENDALE STREET",
            "address_2": "SUITE 312",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293141",
            "telephone_number": "210-293-6006",
            "fax_number": "210-614-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 GARDENDALE STREET",
            "address_2": "SUITE 312",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293141",
            "telephone_number": "210-293-6006",
            "fax_number": "210-614-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "ALLEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "222071",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M6193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186351604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.