Active NPI
Douglas A Holt, M.D.
- Infectious Disease Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME46949
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041987700 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Health | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Florida Department of Health | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Internal Medicine | Current | Accepting new patients |
| Florida Department of Florida | Current | 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
- dholt8107@direct.tgh.org
- 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.
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
-
- Public Health or Welfare Agency
- Tampa, FL
- NPI 1619047941
-
- Public Health or Welfare Agency
- Tampa, FL
- NPI 1124090832
-
- Public Health or Welfare Agency
- Bronson, FL
- NPI 1154395390
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1194276576
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1245270164
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.