Individual provider Active NPI

Tiffany Holmes, D.O.

  • Cardiovascular Disease Physician
  • Darby, PA
National Provider Identifier
1932562634
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS022396 Issued in PA
Practice address
1503 Lansdowne Ave Ste 3001
Darby, PA 19023-1306
Phone
(610) 586-4100
Fax
(610) 586-4114
NPI assigned
Mar 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OT017267 PA
Cardiovascular Disease Physician 207RC0000X OS022396 PA Primary

Addresses

Primary practice location

1503 Lansdowne Ave Ste 3001
Darby, PA 19023-1306

Mailing address

41 University Dr Ste 106
Newtown, PA 18940-1873
Phone (610) 772-6889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220823000083 PA Practitioner - Cardiovascular Disease (Cardiology) 2365734647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Philadelphia College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1001 Baltimore Pike
Suite 10LL
Springfield, PA 19064-2800
Phone (484) 479-2600

1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201

1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (610) 237-4701

1503 Lansdowne Ave
Suite 1001
Darby, PA 19023-1330
Phone (610) 237-2770

2821 Island Ave
Philadelphia, PA 19153-2300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jan 3, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Cardiovascular Disease CurrentSince Jan 3, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients

Locations

1503 Lansdowne Ave
Ste 3003
Darby, PA 19023
Phone (610) 586-4100

1503 Lansdowne Ave
Ste 3001
Darby, PA 19023
Phone (610) 586-4100

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

2821 Island Ave
Ste 205
Philadelphia, PA 19153
Phone (610) 237-2531

1001 Baltimore Pike
Ste 10LL
Springfield, PA 19064
Phone (484) 479-2600

Interoperability endpoints

  • Direct secure messaging: tholmes2086005@direct.trinity-health.org

Organizations & group practices 3

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 1

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": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1932562634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 UNIVERSITY DR STE 106",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401873",
            "telephone_number": "610-772-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 LANSDOWNE AVE STE 3001",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231306",
            "telephone_number": "610-586-4100",
            "fax_number": "610-586-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "TIFFANY",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT017267",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS022396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darby, PA

Sources for this page

Verify at the official NPI Registry.