Individual provider Active NPI

Jeffrey Kent Holen, M.D.

  • Emergency Medicine Physician
  • El Paso, TX
National Provider Identifier
1407805492
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD60193724 Issued in WA
Practice address
11274 McCombs St
El Paso, TX 79934-3455
Phone
(915) 242-2400
Fax
(915) 822-2160
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34232 OK
Emergency Medicine Physician 207P00000X P6639 TX
Emergency Medicine Physician 207P00000X 39160 CO
Emergency Medicine Physician 207P00000X MD60193724 WA Primary

Addresses

Primary practice location

11274 McCombs St
El Paso, TX 79934-3455

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

1301 E Lincoln Rd
Idabel, OK 74745-7300
Phone (580) 286-7623

Other practice location 2

13600 Horizon Blvd Ste 100
Horizon City, TX 79928-5810
Phone (915) 407-7878

Other practice location 3

1100 Carson Ave
La Junta, CO 81050-2751
Phone (970) 314-2644

Other identifiers 1

IdentifierTypeStateIssuer
76125742MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141031002025 TX Practitioner - Emergency Medicine 7416949896 Reassigns benefits to 3 organizations
I20250203000083 FL Practitioner - Family Practice 7416949896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rush Medical College of Rush University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McAdams Emergency Medicine Associates, PAGroup PAC ID 2567895386, 42 clinicians
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians
Webb Emergency Medicine Associates PAGroup PAC ID 1355305244, 43 clinicians

Practice addresses (Care Compare)

1300 E Saunders St
Laredo, TX 78041-5832
Phone (956) 815-4470

2560 S US Hwy 17/92
Casselberry, FL 32707-2938
Phone (407) 321-4500

2901 Jaime Zapata Memorial Hwy
Laredo, TX 78043-5061
Phone (956) 523-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.06 of 100Reported as group
Quality
81.25
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.7 of 100Reported as group
Quality
89.53
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34232OKMDEmergency Medicine Physician
P6639TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Webb Emergency Medicine Associates PA Emergency Medicine CurrentSince Nov 14, 2016 Accepting new patients
McAdams Emergency Medicine Associates, PA Emergency Medicine CurrentSince Mar 19, 2021 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Sep 23, 2024 Accepting new patients
Pearsall Emergency Medicine Associates, PA Emergency Medicine CurrentSince Mar 9, 2018 Accepting new patients
Highlands Ranch Healthcare LLC Emergency Medicine Past Accepting new patients
Yakima Emergency Group a Professional Limited Liability Com Emergency Medicine Past Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

200 Corporate Blvd
Lafayette, LA 70508

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

11274 McCombs St
El Paso, TX 79934
Phone (915) 242-2400

13600 Horizon Blvd
Ste 100
Horizon City, TX 79928
Phone (915) 407-7878

1300 E Saunders St
Laredo, TX 78041
Phone (956) 815-4470

2901 Jaime Zapata Memorial Hwy
Laredo, TX 78043
Phone (956) 718-9000

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190

Organizations & group practices 6

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1407805492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11274 MCCOMBS ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799343455",
            "telephone_number": "915-242-2400",
            "fax_number": "915-822-2160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 E Lincoln Rd",
            "address_purpose": "LOCATION",
            "city": "Idabel",
            "state": "OK",
            "postal_code": "747457300",
            "country_code": "US",
            "telephone_number": "580-286-7623",
            "fax_number": "580-208-3199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13600 Horizon Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Horizon City",
            "state": "TX",
            "postal_code": "799285810",
            "country_code": "US",
            "telephone_number": "915-407-7878",
            "fax_number": "915-852-1804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Carson Ave",
            "address_purpose": "LOCATION",
            "city": "La Junta",
            "state": "CO",
            "postal_code": "810502751",
            "country_code": "US",
            "telephone_number": "970-314-2644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLEN",
        "first_name": "JEFFREY",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "34232",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P6639",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "39160",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD60193724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76125742",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.