Individual provider Active NPI

Shelby Anderson Holland, DO

  • Vascular & Interventional Radiology Physician
  • Syracuse, NY
National Provider Identifier
1558896126
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
328897 Issued in NY
Practice address
1226 East Water Street
Suite D
Syracuse, NY 13210
Phone
(315) 234-4565
Fax
(315) 451-2158
NPI assigned
Apr 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X DO87950 SC
Vascular & Interventional Radiology Physician 2085R0204X DO87950 SC
Vascular & Interventional Radiology Physician 2085R0204X 328897 NY Primary
Vascular & Interventional Radiology Physician 2085R0204X 24871 CA
Diagnostic Radiology Physician 2085R0202X 328897 NY

Addresses

Primary practice location

1226 East Water Street
Suite D
Syracuse, NY 13210

Mailing address

100 Metropolitan Park Dr.
Ste. 100
Liverpool, NY 13088
Phone (315) 870-9369

Other names 1

  • Shelby Nicole Anderson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NY2 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
I20231009001571 SC Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6608140223 Reassigns benefits to 1 organization
I20240708000071 NY Practitioner - Interventional Radiology 6608140223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associated Medical Professionals of Ny PLLCGroup PAC ID 0749378123, 57 clinicians

Practice addresses (Care Compare)

1226 E Water St
Syracuse, NY 13210-1155
Phone (315) 478-4185

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.13 of 100Reported as group
Quality
100
Improvement activities
40
Cost
63.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO87950SCMDDiagnostic Radiology Physician
328897NYMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Medical Professionals of Ny, PLLC Vascular & Interventional Radiology CurrentSince Jun 1, 2024 Accepting new patients
Associated Medical Professionals of Ny, PLLC CurrentSince Jun 1, 2024 Accepting new patients
Carolina Radiology Associates LLC Diagnostic Radiology CurrentSince Aug 27, 2023 Accepting new patients

Locations

100 Metropolitan Park Dr
Ste 100
Liverpool, NY 13088
Phone (315) 870-9370

1226 E Water St
Ste D
Syracuse, NY 13210
Phone (315) 234-4565

1226 E Water St
Syracuse, NY 13210
Phone (315) 423-7226

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

Interoperability endpoints

  • Direct secure messaging: sholland@ampofny.medentdirect.com

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.

Hospital & facility affiliations 4

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": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1558896126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 METROPOLITAN PARK DR.",
            "address_2": "STE. 100",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "13088",
            "telephone_number": "315-870-9369",
            "fax_number": "315-870-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 EAST WATER STREET",
            "address_2": "SUITE D",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13210",
            "telephone_number": "315-234-4565",
            "fax_number": "315-451-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "SHELBY",
        "middle_name": "ANDERSON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "DO87950",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "SC",
            "license": "DO87950",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "328897",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "24871",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "328897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "ANDERSON",
            "middle_name": "NICOLE",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.