Individual provider Active NPI

Austin Holmes, MD

  • Vascular Surgery Physician
  • Roseville, CA
National Provider Identifier
1861841801
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A164773 Issued in CA
Practice address
3 Medical Plaza Dr Ste 130
Roseville, CA 95661-3088
Phone
(916) 773-8750
NPI assigned
Jun 9, 2016
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X A164773 CA Primary

Addresses

Primary practice location

3 Medical Plaza Dr Ste 130
Roseville, CA 95661-3088

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231222002961 CA Practitioner - Vascular Surgery 2466825773 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of California, Davis School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians

Practice addresses (Care Compare)

1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 454-6868

1600 Esplanade
Suite C
Chico, CA 95926-3369
Phone (530) 332-4470

2800 L St
Sacramento, CA 95816-5616

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
60.52
Promoting interoperability
100
Improvement activities
40
Cost
68.7

Merit-based Incentive Payment System (MIPS)

Final score
87.39 of 100Reported as group
Quality
75.67
Promoting interoperability
100
Improvement activities
40
Cost
74.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A164773CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Orohealth Corporation a Non Profit Healthcare System CurrentSince May 12, 2024 Accepting new patients
Regents of the Univ of Ca CurrentSince Nov 1, 2023 Accepting new patients
Pinnacle Sjir CurrentSince May 22, 2024 Accepting new patients
Regents of the Univ of Ca CurrentSince Nov 1, 2023 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Sep 14, 2024 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Sep 14, 2024 Accepting new patients
Enloe Medical Center Vascular Surgery CurrentSince Jul 2, 2024 Accepting new patients
Enloe Medical Center CurrentSince Jul 2, 2024 Accepting new patients
Sutter Regional Medical Foundation Past Accepting new patients

Locations

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

145 Trevino Ave
Manteca, CA 95337
Phone (209) 788-8180

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

2767 Olive Hwy
#260
Oroville, CA 95966
Phone (530) 532-8544

2809 Olive Hwy
Ste 220
Oroville, CA 95966
Phone (530) 532-8161

2809 Olive Hwy
Ste 220240
Oroville, CA 95966
Phone (530) 532-8161

10850 White Rock Rd
Rancho Cordova, CA 95670

3 Medical Plaza Dr
Ste 130
Roseville, CA 95661
Phone (916) 773-8750

2221 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2680

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: aholmes691045@hisp.ehr.sutterhealth.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1861841801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PLAZA DR STE 130",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613088",
            "telephone_number": "916-773-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "AUSTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-09",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A164773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.