Individual provider Active NPI

Douglas A Holt, M.D.

  • Infectious Disease Physician
  • Tampa, FL
National Provider Identifier
1952341083
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME46949 Issued in FL
Practice address
1105 E Kennedy Blvd
Suite 311
Tampa, FL 33602-3511
Phone
(813) 307-8015
Fax
(813) 276-2999
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME46949 FL
Internal Medicine Physician 207R00000X ME46949 FL
Infectious Disease Physician 207RI0200X ME46949 FL Primary

Addresses

Primary practice location

1105 E Kennedy Blvd
Suite 311
Tampa, FL 33602-3511

Mailing address

1105 E Kennedy Blvd
Suite 311
Tampa, FL 33602-3511
Phone (813) 307-8015

Other identifiers 1

IdentifierTypeStateIssuer
041987700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL dholt8107@direct.tgh.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100301000553 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 4789619453 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health Current Accepting new patients
Tampa General Hospital Current Accepting new patients
University Medical Service Association Inc CurrentSince Aug 5, 1985 Accepting new patients
Florida Department of Health CurrentSince Jun 1, 1995 Accepting new patients
University Medical Service Association Inc Current Accepting new patients
University Medical Service Association Inc Internal Medicine CurrentSince Aug 5, 1985 Accepting new patients
Florida Department of Florida CurrentSince Jun 1, 1995 Accepting new patients

Locations

13601 N 22nd St
Tampa, FL 33613
Phone (813) 307-8045

12901 Bruce B Downs Blvd
#19
Tampa, FL 33612
Phone (813) 844-4103

12901 Bruce B Downs Blvd
#62
Tampa, FL 33612

2 Tampa General Cir
Fl 2
Tampa, FL 33606
Phone (813) 209-8596

1105 E Kennedy Blvd
Ste 311
Tampa, FL 33602
Phone (813) 307-8015

8605 N Mitchell Ave
Tampa, FL 33604
Phone (813) 307-8054

1105 E Kennedy Blvd
Tampa, FL 33602
Phone (813) 307-8015

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: dholt8107@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1952341083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 E KENNEDY BLVD",
            "address_2": "SUITE 311",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023511",
            "telephone_number": "813-307-8015",
            "fax_number": "813-276-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 E KENNEDY BLVD",
            "address_2": "SUITE 311",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023511",
            "telephone_number": "813-307-8015",
            "fax_number": "813-276-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "DOUGLAS",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME46949",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME46949",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME46949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041987700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dholt8107@direct.tgh.org",
            "affiliation": "N",
            "address_1": "1105 E Kennedy Blvd",
            "address_2": "Suite 311",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336023511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.