DR. PETER HOLMES MD
NPI 1053108100
Student in an Organized Health Care Education/Training Program in St Louis Park, MN

Q: What is Peter Holmes's NPI number?

The NPI number for Peter Holmes is 1053108100. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Q: What is Peter Holmes's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Holmes was last updated on April 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 22, 2025PECOS Enrolled

6600 EXCELSIOR BLVD STE 160, ST LOUIS PARK, MN 55426(952) 993-7705 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Peter Holmes Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PETER HOLMES MD (NPI 1053108100) is an individual student in an organized health care education/training program in St Louis Park, Minnesota and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053108100

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. PETER HOLMESCredential: MD

Location Address6600 EXCELSIOR BLVD STE 160St Louis Park, MN 55426-4713

Mailing Address6600 Excelsior Blvd Ste 160St Louis Park, MN 55426-4713

Phone(952) 993-7705

Sole ProprietorNo

Enumeration DateApril 22, 2025

NPPES CertifiedApril 22, 2025

✔ NPI 1053108100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

6600 EXCELSIOR BLVD STE 160, St Louis Park, MN 55426

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Peter Holmes Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY BAUMGARTNER MD

Student in an Organized Health Care Education/Training Program

6600 EXCELSIOR BLVD STE 160
SAINT LOUIS PARK, MN 55426

Hennepin County (952) 993-7705

DR. STUART DAVID GATES MD

Student in an Organized Health Care Education/Training Program