Active NPI
David Holt, MD
- Orthopaedic Hand Surgery Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 7771331-1205
- Practice address
- 1160 E 3900 S Ste 5000
Salt Lake City, UT 84124-1275 - Phone
- (801) 261-7479
- Fax
- (801) 261-7429
- NPI assigned
- Apr 27, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 7771331-1205 | UT | Primary |
Addresses
Primary practice location
1160 E 3900 S Ste 5000
Salt Lake City, UT 84124-1275
Mailing address
PO Box 100253
Atlanta, GA 30384-0253
Other practice location 1
2200 NE Neff Rd Ste 200
Bend, OR 97701-4281
Phone (541) 382-3344
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | davidholt@tc.allscriptsdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180709000469 | OR | Practitioner - Hand Surgery | 9335370139 | |
| I20231229001917 | UT | Practitioner - Orthopedic Surgery | 9335370139 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Tennessee, HSC, College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1160 E 3900
Suite 5000
Salt Lake City, UT 84124-1275
Phone (801) 262-8486
Hospital & facility affiliations
- St Mark'S Hospital
- Kadlec Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7771331-1205 | UT | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountainstar Specialty Services LLC | Current | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
1160 E 3900 S
Ste 5000
Slc, UT 84124
Phone (801) 261-7479
8846 S Redwood Rd
Ste 121
West Jordan, UT 84088
Phone (801) 545-8480
Interoperability endpoints
- dholt19293@thecenter.gardenplotortho.direct-ci.com
- david.holt.p1@direct.orthotn.nextgenshare.com
Organizations & group practices 1
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 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1164469243
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1669616249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100253",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303840253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 E 3900 S STE 5000",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841241275",
"telephone_number": "801-261-7479",
"fax_number": "801-261-7429"
}
],
"practiceLocations": [
{
"address_1": "2200 NE Neff Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977014281",
"country_code": "US",
"telephone_number": "541-382-3344",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLT",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-27",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "UT",
"license": "7771331-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "davidholt@tc.allscriptsdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2200 NE Neff Rd Ste 200",
"city": "Bend",
"state": "OR",
"country_code": "US",
"postal_code": "977014281",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.