Individual provider Active NPI

Alexis Holmes, MD

  • Dermatology Physician
  • Philadelphia, PA
National Provider Identifier
1396322194
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MT223129 Issued in PA
Practice address
3400 Civic Center Blvd FL 1
Philadelphia, PA 19104-5161
Phone
(215) 662-7366
NPI assigned
Mar 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD485630 PA
Internal Medicine Physician 207R00000X MT223129 PA
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X MT223129 PA Primary

Addresses

Primary practice location

3400 Civic Center Blvd FL 1
Philadelphia, PA 19104-5161

Mailing address

800 Spruce St
Philadelphia, PA 19107-6130

Other practice location 1

1516 Locust St
Philadelphia, PA 19102-4409
Phone (215) 545-5459

Other practice location 2

3900 Woodland Ave
Philadelphia, PA 19104-4551
Phone (215) 823-5800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Alexis.holmes@pennmedicine.upenn.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250915002401 PA Practitioner - Dermatology 5395248223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Perelman School of Med at the University of Pennsylvania, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ringpfeil Advanced Dermatology PCGroup PAC ID 8022015486, 13 clinicians

Practice addresses (Care Compare)

569 W Lancaster Ave
Haverford, PA 19041-1416
Phone (610) 525-5250

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions57
Skin biopsy23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD485630PAMDDermatology Physician
MT223129PAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ringpfeil Advanced Dermatology PC Dermatology CurrentSince Aug 4, 2025 Accepting new patients

Locations

569 W Lancaster Ave
Haverford, PA 19041
Phone (610) 525-5250

1516 Locust St
Philadelphia, PA 19102
Phone (215) 545-5459

339 E Lancaster Ave
Wynnewood, PA 19096
Phone (610) 649-1391

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCDCAA
  • Direct secure messaging: alexis.holmes@pennmedicine.upenn.edu

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1396322194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045161",
            "telephone_number": "215-662-7366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1516 Locust St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191024409",
            "country_code": "US",
            "telephone_number": "215-545-5459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3900 Woodland Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044551",
            "country_code": "US",
            "telephone_number": "215-823-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "ALEXIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD485630",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT223129",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MT223129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Alexis.holmes@pennmedicine.upenn.edu",
            "affiliation": "N",
            "address_1": "800 Spruce St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191076130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.