Jason Holt, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

E-6510 Issued in AR

Practice address

1100 N College Ave
Fayetteville, AR 72703-1944

Phone

(479) 443-4301

Fax

(479) 587-6106

NPI assigned

Apr 25, 2007

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Merit-based Incentive Payment System (MIPS)

Final score

24.26 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

80.87

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: interventionalpainspecialists.jasonholt@120973.advancedmd-direct.com

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.

• Interventional Pain Specialists of Nwa, PLLC

  • Interventional Pain Medicine Physician
  • Fayetteville, AR
  • NPI 1295032407
  Medicare reassignment NPD
• Natural State Counseling Centers

  • Mental Health Counselor
  • Rogers, AR
  • NPI 1497538383
  NPD
• Advanced Interventional Pain and Diagnostics of Western Arkansas, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Fort Smith, AR
  • NPI 1831142876
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1932328267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4019 N REMINGTON DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036344",
            "telephone_number": "479-595-8192",
            "fax_number": "479-442-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N COLLEGE AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031944",
            "telephone_number": "479-443-4301",
            "fax_number": "479-587-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "JASON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "E-6510",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AR",
            "license": "E-6510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184323001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tarah Nicole Holman, OTR/L
• Aidan Holobowicz, BCBA
• Holos Collective
• Holos Consulting, LLC (Holos Counseling)
• Amber Lindsey Holt
• Joanna Lee Holt, LAC
• Kendall Leanne Holt, DIETITIAN
• Olivia Holt, LCSW
• Tonya Holt
• Diana Holte, APRN

• Interventional Pain Medicine Physician in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Interventional Pain Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.

Verify at the official NPI Registry.