Individual provider Active NPI

Kimberly J Holding, MD

  • Internal Medicine Physician
  • Oakland Park, FL
National Provider Identifier
1528022431
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME80585 Issued in FL
Practice address
1164 E Oakland Park Blvd FL 3
Oakland Park, FL 33334-2707
Phone
(954) 561-6900
Fax
(954) 568-7021
NPI assigned
Apr 17, 2006
Last updated
Oct 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME80585 FL Primary

Addresses

Primary practice location

1164 E Oakland Park Blvd FL 3
Oakland Park, FL 33334-2707

Mailing address

6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 498-6674

Other identifiers 1

IdentifierTypeStateIssuer
258926500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 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
I20050603000209 FL Practitioner - Internal MedicinePractitioner - Infectious Disease 5496798167 Reassigns benefits to 1 organization
I20170120002247 TX Practitioner - Internal Medicine 5496798167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Rutgers School of Dental Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
AIDS Healthcare FoundationGroup PAC ID 2668369109, 101 clinicians

Practice addresses (Care Compare)

3135 State Rd
Suite 1
Safety Harbor, FL 34695-4917
Phone (727) 725-9931

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME80585FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Choctaw Nation of Oklahoma CurrentSince Dec 12, 2016 Accepting new patients
AIDS Healthcare Foundation Internal Medicine CurrentSince Oct 14, 2019 Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
AIDS Healthcare Foundation Current Accepting new patients
AIDS Healthcare Foundation CurrentSince Oct 14, 2019 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Dec 12, 2016 Accepting new patients

Locations

6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200

6333 N Federal Hwy
Ste 301302
Ft Lauderdale, FL 33308
Phone (954) 772-2411

1164 E Oakland Park Blvd
Fl 3
Oakland Park, FL 33334
Phone (954) 561-6900

2866 E Oakland Park Blvd
Ste 2
Oakland Park, FL 33306
Phone (954) 462-8323

3135 State Road 580
Ste 1
Safety Harbor, FL 34695
Phone (727) 259-2000

1127 S George Nigh Expy
McAlester, OK 74501
Phone (918) 423-8440

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

Interoperability endpoints

  • Direct secure messaging: kimberly.holding.1@26356.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1528022431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-498-6674",
            "fax_number": "855-312-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 E OAKLAND PARK BLVD FL 3",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333342707",
            "telephone_number": "954-561-6900",
            "fax_number": "954-568-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDING",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME80585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258926500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

Verify at the official NPI Registry.