Active NPI
Shelby Anderson Holland, DO
- Vascular & Interventional Radiology Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 328897
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 63.77
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO87950 | SC | MD | Diagnostic Radiology Physician |
| 328897 | NY | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Medical Professionals of Ny, PLLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Associated Medical Professionals of Ny, PLLC | Current | Accepting new patients | |
| Carolina Radiology Associates LLC | Diagnostic Radiology | Current | 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
- 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.
-
- Urology Physician
- Syracuse, NY
- NPI 1467659060
Vascular & Interventional Radiology
-
- Diagnostic Radiology Physician
- Conway, SC
- NPI 1225014657
-
- Urology Physician
- Fulton, NY
- NPI 1386062990
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
-
- General Acute Care Hospital
- Potsdam, NY
- NPI 1568548782
-
- General Acute Care Hospital
- Oneida, NY
- NPI 1962408203
-
- General Acute Care Hospital
- Oswego, NY
- NPI 1871678458
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.