Individual provider Active NPI

Ruth S. Holland, MD

  • Internal Medicine Physician
  • Hyannis, MA
National Provider Identifier
1588666358
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD053954L Issued in PA
Practice address
1030 Falmouth Rd
Hyannis, MA 02601-2324
Phone
(508) 778-4777
Fax
(508) 771-9555
NPI assigned
Aug 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 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 MD053954L PA Primary

Addresses

Primary practice location

1030 Falmouth Rd
Hyannis, MA 02601-2324

Mailing address

297 North St Ste 221
Hyannis, MA 02601-5133
Phone (508) 862-7777

Other identifiers 2

IdentifierTypeStateIssuer
245768OtherMAMA STATE LICENSE
01749372MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20101102001506 MA Practitioner - Internal Medicine 3476448713 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Medical Affiliates of Cape Cod, Inc. Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Cape Cod Hospital Inc Current Accepting new patients
Ruth S. Holland, MD, LLC Internal Medicine PastSince Aug 1, 2003 Accepting new patients
Gateway Medical Associates, PC Internal Medicine PastSince Apr 1, 2008 Accepting new patients
Pentahealth, LLC Internal Medicine PastSince Oct 1, 2020 Accepting new patients

Locations

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

1030 Falmouth Rd
Hyannis, MA 02601
Phone (774) 470-5080

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

433 W Main St
Hyannis, MA 02601
Phone (508) 362-0099

495 Station Ave
South Yarmouth, MA 02664
Phone (508) 957-7400

Interoperability endpoints

  • Direct secure messaging: rholland14955@direct.capecodhealthcare.masshiway.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1588666358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 NORTH ST STE 221",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015133",
            "telephone_number": "508-862-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 FALMOUTH RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026012324",
            "telephone_number": "508-778-4777",
            "fax_number": "508-771-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "RUTH",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD053954L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA STATE LICENSE",
            "identifier": "245768",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01749372",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.