Individual provider Active NPI

Nicholas C Hollenkamp, MD

  • Otolaryngology Physician
  • Columbus, IN
National Provider Identifier
1891792149
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
01041385A Issued in IN
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

Updated by the provider on Jul 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200093270MedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 6507964137, 10 clinicians

Practice addresses (Care Compare)

1655 N Gladstone Ave
Suite E
Columbus, IN 47201-5380
Phone (812) 376-3182

Hospital & facility affiliations

  • Johnson Memorial Hospital Hospital, Franklin, IN, CCN 150001
  • Columbus Regional Hospital Hospital, Columbus, IN, CCN 150112
  • Schneck Medical Center Hospital, Seymour, IN, CCN 150065
  • Ascension St Vincent Jennings Hospital, North Vernon, IN, CCN 151303

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as individual
Quality
69.8
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Indiana ENT, LLC Otolaryngology CurrentSince Aug 1, 2001 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

  • Direct secure messaging: nicholas.hollenkamp.1@12832.direct.athenahealth.com
  • FHIR API: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.