HEATHER E HOLDEN MD NPI 1023296670

Internal Medicine (Rheumatology) in Charlotte, NC

NPI 1023296670 Individual Female Years of Experience 18 Internal Medicine Rheumatology PECOS Enrolled Accepts Medicare Approved Payment

About HEATHER HOLDEN

Heather Holden is an internal medicine provider established in Charlotte, North Carolina and her medical specialization is internal medicine (rheumatology) with more than 18 years of experience. She graduated from University Of North Carolina At Chapel Hill School Of Medicine in 2003. The NPI number of Heather Holden is 1023296670 and was assigned on February 2008. The practitioner's primary taxonomy code is 207RR0500X with license number 2008-01427 (NC). The provider is registered as an individual and her NPI record was last updated one year ago.

An internist like Heather E Holden Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Heather Holden is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Heather Holden is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Novant Health Presbyterian Medical Center.

NPI

1023296670

Provider Name HEATHER E HOLDEN MD
Provider Location Address6324 FAIRVIEW RD STE 330 CHARLOTTE, NC 28210
Provider Mailing AddressPO BOX 60447 CHARLOTTE, NC 28260
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year2003
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date02-06-2008
Last Update Date10-25-2020


Primary Taxonomy

Taxonomy Code207RR0500X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationRheumatology
License No.2008-01427
License StateNC
Taxonomy DescriptionAn internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Business Address

HEATHER E HOLDEN MD
6324 FAIRVIEW RD STE 330
CHARLOTTE, NC
ZIP 28210
Phone: (704) 316-1950
Fax: (704) 316-1952

Get Directions


Mailing Address

HEATHER E HOLDEN MD
PO BOX 60447
CHARLOTTE, NC
ZIP 28260
Phone: (704) 316-6565



Secondary Locations

200 Medical Park Dr Ste 330
Concord, NC 28025
(704) 403-1308

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID3072681337
PECOS Enrollment IDI20081014000434
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 198Infusion of chemotherapy into a vein up to 1 hour (HCPCS:96413)
  • 44Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 33Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • 23Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Heather Holden is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER200 HAWTHORNE LANE BOX 33549
CHARLOTTE, NC 28233
(704) 384-4000Acute Care Hospitals340053

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology057820GANo

Taxonomy Description: an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
5910502MEDICAID (05)NC

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194370767NOVANT MEDICAL GROUP INC
Organization
Internal Medicine (Rheumatology)6324 FAIRVIEW RD STE 330
CHARLOTTE, NC 28210
(704) 316-1950
1376736553 ELNAZ TABRIZI
Individual
Internal Medicine (Rheumatology)6324 FAIRVIEW RD STE 330
CHARLOTTE, NC 28210
(704) 316-1950

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.