NPIMap

Individual provider Active NPI

Todd Edgar Holmes, M.D.

  • MOHS-Micrographic Surgery Physician
  • Burlington, VT
National Provider Identifier
1467578005
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
042-0011372 Issued in VT
Practice address
111 Colchester Ave
Division of Dermatology, WP-5
Burlington, VT 05401-1473
Phone
(802) 847-4570
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Vermont College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Vermont Medical Center Inc 1,208 clinicians

Practice addresses (Care Compare)

1 S Prospect St
Burlington, VT 05401-3456
Phone (802) 847-0000

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

Hospital & facility affiliations

  • Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision40
Removal of skin lesions78
Removal of skin cancer321
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy33

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070808000556 VT Practitioner - Dermatology 1456442243 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042-0011372VTMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Four Seasons Dermatology LLC Dermatology CurrentSince Dec 30, 2020 Accepting new patients
University of Vermont Medical Center Inc CurrentSince Jul 1, 2007 Accepting new patients
Green Mountain Dermatology PLLC Dermatology CurrentSince May 1, 2026 Accepting new patients
Fletcher Allen Health Care Inc Past Accepting new patients

Locations

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

111 Colchester Ave
#5
Burlington, VT 05401
Phone (802) 847-2884

354 Mountain View Dr
Ste 300
Colchester, VT 05446
Phone 8028640192115

350 Tilley Dr
Ste 201
South Burlington, VT 05403
Phone (802) 847-4570

28 Stowe St
Ste 3
Waterbury, VT 05676
Phone (802) 864-0492

Interoperability endpoints

  • Direct secure messaging: tholmes10658@direct.uvmhealth.org

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 042-0011372 VT
MOHS-Micrographic Surgery Physician 207ND0101X 042-0011372 VT Primary
Procedural Dermatology Physician 207NS0135X 042-0011372 VT

Addresses

Primary practice location

111 Colchester Ave
Division of Dermatology, WP-5
Burlington, VT 05401-1473

Mailing address

283 Spear St
Charlotte, VT 05445-9132

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1467578005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 SPEAR ST",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054459132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "address_2": "DIVISION OF DERMATOLOGY, WP-5",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "TODD",
        "middle_name": "EDGAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VT",
            "license": "042-0011372",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "VT",
            "license": "042-0011372",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "VT",
            "license": "042-0011372",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.