Rex Monroe Holliday, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD192271 Issued in OR

Practice address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Phone

(503) 494-8311

NPI assigned

Apr 29, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in WY, TN2 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

Specialty

Diagnostic Radiology

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Triad Radiology Associates PLLCGroup PAC ID 8729086194, 75 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Regional Hospital Hospital, Mount Airy, NC, CCN 340003
• Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014
• Ashe Memorial Hospital Hospital, Jefferson, NC, CCN 341325
• Novant Health Thomasville Medical Center Hospital, Thomasville, NC, CCN 340085
• Lifebrite Community Hospital of Stokes Hospital, Danbury, NC, CCN 341317

Merit-based Incentive Payment System (MIPS)

Final score

76.35 of 100Reported as group

Quality

72.18

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

92.41 of 100Reported as group

Quality

91.07

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 29)

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.

• Triad Radiology Associates PLLC

  • Diagnostic Radiology Physician
  • Winston Salem, NC
  • NPI 1659485001

  TN

  Medicare reassignment Care Compare group NPD
• Adi Radiology PC

  • Diagnostic Radiology Physician
  • Franklin, TN
  • NPI 1083266761

  WY

  Medicare reassignment NPD
• Clarksville Imaging Center LLC

  • Diagnostic Radiology Physician
  • Clarksville, TN
  • NPI 1043285539

  WY

  Medicare reassignment NPD
• Middle Tennessee Imaging LLC

  • Diagnostic Radiology Physician
  • Dickson, TN
  • NPI 1770667289

  WY

  Medicare reassignment NPD
• Novant Health Enterprises Imaging, LLC

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1043005689
  NPD
• Novant Health Enterprises Imaging, LLC

  • Diagnostic Radiology Physician
  • Laurinburg, NC
  • NPI 1144015777
  NPD
• Novant Health Enterprises Imaging, LLC

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1154116796
  NPD
• Novant Health Enterprises Imaging, LLC

  • Diagnostic Radiology Physician
  • Indian Land, SC
  • NPI 1184419707
  NPD
• Novant Health Enterprises Imaging, LLC

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1235924846
  NPD
• Novant Health Enterprises Imaging, LLC

  • Diagnostic Radiology Physician
  • Fort Mill, SC
  • NPI 1346035961
  NPD
• Novant Health Enterprises Imaging, LLC

  • Diagnostic Radiology Physician
  • Huntersville, NC
  • NPI 1386439909
  NPD
• Novant Health Enterprises Imaging, LLC

  • Diagnostic Radiology Physician
  • Concord, NC
  • NPI 1447045067
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ashe Memorial Hospital Inc

  • Critical Access Hospital
  • Jefferson, NC
  • NPI 1376671370
  Care Compare affiliation
• Forsyth Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Winston Salem, NC
  • NPI 1447200233
  Care Compare affiliation
• Lifebrite Hospital Group of Stokes, LLC

  • Critical Access Hospital
  • Danbury, NC
  • NPI 1396288999
  Care Compare affiliation
• Northern Hospital of Surry County

  • General Acute Care Hospital
  • Mount Airy, NC
  • NPI 1366449282
  Care Compare affiliation
• Novant Health Thomasville Medical Center, LLC

  • General Acute Care Hospital
  • Thomasville, NC
  • NPI 1801848767
  Care Compare affiliation

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1619387719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIDAY",
        "first_name": "REX",
        "middle_name": "MONROE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-29",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD192271",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2019-02353",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "65768",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME125777",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann L Holler
• Kerri Holler, LMT
• Steven A Holley, DDS
• Jonathan Holliday
• Joseph Holliday, CRM, CHW, PSS
• Beth Jane Holliman, LPC
• Casey Holliman, LMT
• Laramie Holliman, RN
• Ashley Hollingshead
• Kendra Glattier Hollingsworth, MFT GRADUATE STUDENT

• Diagnostic Radiology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Diagnostic Radiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.

Verify at the official NPI Registry.