Active NPI
Donald A Hollsten, MD
- Ophthalmology Physician
- San Antonio, TX
National Provider Identifier
1508829227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G2150
- Practice address
- 4114 Pond Hill Rd Ste 100
San Antonio, TX 78231-1273 - Phone
- (210) 616-0739
- Fax
- (210) 616-0972
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | G2150 | TX | |
| Ophthalmology Physician | 207W00000X | G2150 | TX | Primary |
Addresses
Primary practice location
4114 Pond Hill Rd Ste 100
San Antonio, TX 78231-1273
Mailing address
4114 Pond Hill Rd
Ste 100
San Antonio, TX 78231-1273
Phone (210) 616-0739
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1331308-02 | Medicaid | TX | |
| 1331308-01 | Medicaid | TX | |
| 133130805 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 50 of 100
- Quality
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donald a Hollsten MD PLLC | Multi-Specialty | Current | Accepting new patients |
| Donald a. Hollsten, M.D. | Multi-Specialty | Past | Accepting new patients |
| Eye Clinic of Austin PLLC | Multi-Specialty | Past | Accepting new patients |
Locations
7950 Floyd Curl Dr
Ste 702
San Antonio, TX 78229
Phone (210) 614-1020
4114 Pond Hill Rd
Ste 100
San Antonio, TX 78231
Phone (210) 616-0739
Organizations & group practices 3
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": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1508829227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4114 POND HILL RD",
"address_2": "STE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782311273",
"telephone_number": "210-616-0739",
"fax_number": "210-616-0972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4114 POND HILL RD STE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782311273",
"telephone_number": "210-616-0739",
"fax_number": "210-616-0972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLSTEN",
"first_name": "DONALD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "TX",
"license": "G2150",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "G2150",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1331308-02",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1331308-01",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133130805",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.