Rachael Holliday, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01076634A Issued in IN

Practice address

2162 N Meridian St Ste B
Indianapolis, IN 46202-1311

Phone

(317) 957-2100

Fax

(317) 957-2120

NPI assigned

May 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 24, 2020 through Nov 24, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1669731642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2162 N MERIDIAN ST STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021311",
            "telephone_number": "317-964-0014",
            "fax_number": "669-235-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 N MERIDIAN ST STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021311",
            "telephone_number": "317-957-2100",
            "fax_number": "317-957-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIDAY",
        "first_name": "RACHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-10",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01076634A",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01076634A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669731642",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201097890",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Staci L Hollar
• Emily Nicole Hollcraft, LMHC
• Justin Robert Hollen, MD
• Jolyn Marie Holliday Veza, ANP
• Alexander Cadden Lee Holliday
• Theresa Holliday, LCSW
• Kendra Holliger
• Sarah Hollinberger, BCBA
• David W Holling, PHD
• Vicki Hollinger-Sieferman

• Internal Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.