Active NPI
Michael David Hollett, MD
- Body Imaging Physician
- Stanford, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- G75906
- Practice address
- 300 Pasteur Dr
Stanford, CA 94305-2200 - Phone
- (650) 723-4000
- NPI assigned
- Jun 15, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G75906 | CA | |
| Body Imaging Physician | 2085B0100X | G75906 | CA | Primary |
Addresses
Primary practice location
300 Pasteur Dr
Stanford, CA 94305-2200
Mailing address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
Other practice location 1
795 Willow Road
Building 334, Room C-210
Menlo Park, CA 94025
Phone (877) 780-5559
Other practice location 2
817 Lathrop Dr
Stanford, CA 94305-1054
Phone (650) 852-9062
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G759060 | Other | CA | BLUE CROSS OF CA |
| 300121752 | Other | CA | RAILROAD MEDICARE |
| 00G759060 | Medicaid | CA | |
| 300121782 | Other | CA | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Duke University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
420 Broadway St
Redwood City, CA 94063-3132
Phone (650) 723-4000
450 Broadway St
Redwood City, CA 94063-3132
Phone (650) 723-4000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.53 of 100
- Quality
- 87.08
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanford Health Care | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Permanente Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Permanente Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Stanford Health Care | Diagnostic Radiology | Current | Accepting new patients |
| Stanford Health Care | Diagnostic Radiology | Current | Accepting new patients |
Locations
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
19000 Homestead Rd
Cupertino, CA 95014
Phone (408) 366-4200
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
7999 Gateway Blvd
Ste 200
Newark, CA 94560
Phone (510) 806-2947
300 Pasteur Dr
Ste A200
Palo Alto, CA 94304
Phone (415) 498-5710
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418
170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
700 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 851-5300
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
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.
-
dba Stanford Medical Center A Trade Name for Stanford Health Care
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
Diagnostic Radiology
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
Diagnostic Radiology
-
- Internal Medicine Physician
- Richmond, CA
- NPI 1235226531
Diagnostic Radiology
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
dba Stanford Health Care Emeryville 5800
- General Acute Care Hospital
- Emeryville, CA
- NPI 1275076325
Diagnostic Radiology
-
dba Stanford Health Care Specialty Pharmacy
- Specialty Pharmacy
- Mountain View, CA
- NPI 1760366132
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SHC Radiation Oncology
- Radiation Oncology Physician
- Pleasanton, CA
- NPI 1124561758
Hospital
-
dba Stanford Health Care Emeryville 5800
- General Acute Care Hospital
- Emeryville, CA
- NPI 1275076325
-
dba Stanford Health Care Emeryville 6121
- General Acute Care Hospital
- Emeryville, CA
- NPI 1285177337
-
dba Stanford Medical Center A Trade Name for Stanford Health Care
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
dba Stanford Health Care Pleasanton 5565
- General Acute Care Hospital
- Pleasanton, CA
- NPI 1467990465
-
dba Stanford Medical Center A Trade Name for Stanford Health Care
- General Acute Care Hospital
- Stanford, CA
- NPI 1871543215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1811931611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
}
],
"practiceLocations": [
{
"address_1": "795 Willow Road",
"address_2": "Building 334, Room C-210",
"address_purpose": "LOCATION",
"city": "Menlo Park",
"state": "CA",
"postal_code": "94025",
"country_code": "US",
"telephone_number": "877-780-5559",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "817 Lathrop Dr",
"address_purpose": "LOCATION",
"city": "Stanford",
"state": "CA",
"postal_code": "943051054",
"country_code": "US",
"telephone_number": "650-852-9062",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLETT",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G75906",
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "CA",
"license": "G75906",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF CA",
"identifier": "00G759060",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300121752",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G759060",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300121782",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "19000 Homestead Rd",
"city": "Cupertino",
"state": "CA",
"country_code": "US",
"postal_code": "950140712",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.