Individual provider Active NPI

Shaf B. Holden, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Huntsville, AL
National Provider Identifier
1518161397
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
25025 Issued in AL
Practice address
201 Sivley Rd SW
Suite300
Huntsville, AL 35801-5134
Phone
(256) 265-0255
Fax
(256) 533-3379
NPI assigned
Jun 13, 2007
Last updated
Feb 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 25025 AL Primary

Addresses

Primary practice location

201 Sivley Rd SW
Suite300
Huntsville, AL 35801-5134

Mailing address

930 Franklin St SE
Huntsville, AL 35801-4312
Phone (256) 519-8272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20090911000620 AL Practitioner - Cardiac SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 2769537943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Thoracic Surgery, Vascular Surgery
Education
University of Alabama School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HH Heart Center, LLCGroup PAC ID 1951694678, 94 clinicians

Practice addresses (Care Compare)

201 Sivley Rd SW
Suite 300
Huntsville, AL 35801-5102
Phone (256) 536-5594

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25025ALMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HH Heart Center, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Sep 1, 2016 Accepting new patients
The Health Care Authority of the City of Huntsville Past Accepting new patients
Cardio-Thoracic & Vascular Surgical Associates, P.C. Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Oct 17, 2014 Accepting new patients
Imc-Cardio-Thoracic and Vascular Surgical Associates LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Sep 1, 2019 Accepting new patients

Locations

201 Sivley Rd SW
Ste 300
Huntsville, AL 35801
Phone (256) 533-1077

930 Franklin St SE
Huntsville, AL 35801

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1518161397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 FRANKLIN ST SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014312",
            "telephone_number": "256-519-8272",
            "fax_number": "256-519-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SIVLEY RD SW",
            "address_2": "SUITE300",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015134",
            "telephone_number": "256-265-0255",
            "fax_number": "256-533-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDEN",
        "first_name": "SHAF",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AL",
            "license": "25025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.