DANIEL T HOLLEY MD PA
NPI 1437284080
Plastic Surgery in Stuart, FL

Active since February 23, 2007
2065 SOUTH KANNER HIGHWAY, STUART, FL 34994(772) 286-0677(772) 286-6720 Get Directions Write a Review

NPPES record last updated: May 2, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Daniel T Holley Md Pa NPPES

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

DANIEL T HOLLEY MD PA (NPI 1437284080) is a healthcare organization registered as a plastic surgery in Stuart, Florida and active in the NPI registry since February 2007. The organization lists Daniel Thomas Holley, President, as its authorized official.

NPPES Registry Identity

NPI1437284080
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameDANIEL T HOLLEY MD PA
Location Address2065 SOUTH KANNER HIGHWAYStuart, FL 34994
Mailing Address2065 South Kanner HighwayStuart, FL 34994 · (772) 286-0677 · Fax (772) 286-6720
Fax(772) 286-6720
Organization SubpartNo
Authorized OfficialDaniel Thomas HolleyPresident · (772) 286-0677
Enumeration DateFebruary 23, 2007
Last NPPES UpdateMay 2, 2008
✔ NPI 1437284080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in FL · ME73391
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
2065 SOUTH KANNER HIGHWAY, Stuart, FL 34994

Other Identifiers 6

Other720838FL · Cigna
Other0005673558FL · Aetna
Medicare UPINF32198FL
Medicare PIN41373ZFL
Other41373FL · Blue Cross Blue Shield Fl
Other240006528FL · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel T Holley Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20070625000050Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Daniel T Holley MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Plastic and Reconstructive Surgery
NPI 1023102886
2065 SOUTH KANNER HIGHWAY
Stuart, FL 34994
(772) 286-0677
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel T Holley MD PA's NPI number?

The NPI number for Daniel T Holley MD PA is 1437284080. It was assigned to this organization in the NPPES registry on February 23, 2007.

Where is Daniel T Holley MD PA located?

Daniel T Holley MD PA is located at 2065 South Kanner Highway, Stuart, FL 34994. The listed phone number is (772) 286-0677.

What is Daniel T Holley MD PA's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Daniel T Holley MD PA enrolled in Medicare?

Yes. Daniel T Holley MD PA is registered in the Medicare PECOS enrollment system.

When is Daniel T Holley MD PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Daniel T Holley MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Daniel T Holley MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Daniel T Holley MD PA was last updated on May 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.