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BEN HOLM PHYSICIAN ASSISTANT
NPI 1588077580
Physician Assistant - Surgical in Albany, NY

Active since June 06, 2014PECOS EnrolledAccepts Medicare Assignment
315 S MANNING BLVD, ALBANY, NY 12208(518) 525-1693 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ben Holm Physician Assistant NPPES

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

BEN HOLM PHYSICIAN ASSISTANT (NPI 1588077580) is an individual surgical provider in Albany, New York, licensed in New York (017379) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1588077580
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameBEN HOLMCredential: PHYSICIAN ASSISTANT
Location Address315 S MANNING BLVDAlbany, NY 12208-1707
Mailing Address38 Andrew LnMount Tremper, NY 12457-5315 · (845) 332-0883
Phone(518) 525-1693
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 6, 2014
Last NPPES UpdateMay 5, 2021
NPPES CertifiedMay 5, 2021
✔ NPI 1588077580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 017379
315 S MANNING BLVD, Albany, NY 12208
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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 and accepts Medicare assignment

Ben Holm Physician Assistant is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759506363
PECOS Enrollment IDI20140715000882
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.

ARUNIMA RAJBHANDARY MD
Hospitalist
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-1550
ST PETER'S LIFELINE
Emergency Response System Companies
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-6024
ABIGAIL N RUDASILL PHARM D
Pharmacist
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-1616
MARIA SOBIERAJ
Pharmacist
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 381-6325
NICOLETTA SERAFINA PACILLI PA
Physician Assistant
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-5634
DR. SAHAR AMERY M.D.
Hospitalist
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-1550
DAVID JAHANGIR MD
Radiology (Diagnostic Radiology)
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-1401
MRS. LYNN ANN CRAFT PA
Physician Assistant
315 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 525-5776

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 Ben Holm's NPI number?

The NPI number for Ben Holm is 1588077580. It was assigned to this individual provider in the NPPES registry on June 6, 2014.

Where is Ben Holm located?

Ben Holm practices at 315 S Manning Blvd, Albany, NY 12208. The listed phone number is (518) 525-1693.

What is Ben Holm's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Ben Holm enrolled in Medicare?

Yes. Ben Holm is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ben Holm was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.