Active NPI
Nicholas C Hollenkamp, MD
- Otolaryngology Physician
- Columbus, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 01041385A
- Practice address
- 1655 N Gladstone Ave
Columbus, IN 47201-5392 - Phone
- (812) 376-3071
- Fax
- (812) 378-5721
- NPI assigned
- Jul 1, 2005
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 01041385A | IN | Primary |
Addresses
Primary practice location
1655 N Gladstone Ave
Columbus, IN 47201-5392
Mailing address
1655 N Gladstone Ave
Columbus, IN 47201-5392
Phone (812) 376-3071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200093270 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100303000472 | IN | Practitioner - Otolaryngology | 2961500590 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Indiana University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Indiana ENT LLC
Practice addresses (Care Compare)
1655 N Gladstone Ave
Suite E
Columbus, IN 47201-5380
Phone (812) 376-3182
Hospital & facility affiliations
- Johnson Memorial Hospital
- Columbus Regional Hospital
- Schneck Medical Center
- Ascension St Vincent Jennings
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 69.8
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Indiana ENT, LLC | Otolaryngology | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
1655 N Gladstone Ave
Columbus, IN 47201
Phone (812) 372-2245
1655 N Gladstone Ave
Ste E
Columbus, IN 47201
Phone (812) 376-3071
1159 W Jefferson St
Ste 202
Franklin, IN 46131
Phone (317) 346-3858
701 E County Line Rd
Ste 209
Greenwood, IN 46143
Phone (317) 215-0177
Interoperability endpoints
- nicholas.hollenkamp.1@12832.direct.athenahealth.com
- https://api.platform.athenahealth.com/12832/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seymour, IN
- NPI 1699738088
Hospital
-
- Critical Access Hospital
- North Vernon, IN
- NPI 1285684829
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247443200000",
"number": "1891792149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1655 N GLADSTONE AVE",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472015392",
"telephone_number": "812-376-3071",
"fax_number": "812-378-5721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 N GLADSTONE AVE",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472015392",
"telephone_number": "812-376-3071",
"fax_number": "812-378-5721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLENKAMP",
"first_name": "NICHOLAS",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2009-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IN",
"license": "01041385A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200093270",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.