BRETT HOLDAWAY DO
NPI 1700375763
Pediatrics in Mesa, AZ

Q: What is Brett Holdaway's NPI number?

The NPI number for Brett Holdaway is 1700375763. It was assigned to this individual provider in the NPPES registry on May 5, 2018.

Q: What is Brett Holdaway's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Brett Holdaway was last updated on June 17, 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.

Active since May 05, 2018PECOS Enrolled

4540 E BASELINE RD STE 108, MESA, AZ 85206(480) 892-3880 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2021, May 5, 2018 (2 updates tracked since 2018).

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About Brett Holdaway Do NPPES

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

BRETT HOLDAWAY DO (NPI 1700375763) is an individual pediatrics provider in Mesa, Arizona, licensed in Arizona (009073) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700375763

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameBRETT HOLDAWAYCredential: DO

Location Address4540 E BASELINE RD STE 108Mesa, AZ 85206-4616

Mailing Address4540 E Baseline Rd Ste 108Mesa, AZ 85206-4616

Phone(480) 892-3880

Sole ProprietorYes

Enumeration DateMay 5, 2018

Last NPPES UpdateJune 17, 20212 updates tracked since enumeration

NPPES CertifiedJune 17, 2021

✔ NPI 1700375763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AZ · 009073

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4540 E BASELINE RD STE 108, Mesa, AZ 85206

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brett Holdaway Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

DR. XIN TAN M.D., PH.D.

Pediatrics

4540 E BASELINE RD STE 108
MESA, AZ 85206

Maricopa County (480) 892-3880

DEBORAH D HOWARD RN, MS, PNP

Nurse Practitioner (Pediatrics)

4540 E BASELINE RD STE 108
MESA, AZ 85206

Maricopa County (480) 892-3880

BRAD GUTHRIE MD

Pediatrics

4540 E BASELINE RD STE 108
MESA, AZ 85206

Maricopa County (480) 892-3880

MRS. MANJU THOMSON MSN. CPNP

Nurse Practitioner (Pediatrics)

4540 E BASELINE RD STE 108
MESA, AZ 85206

Maricopa County (480) 892-3880

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 Brett Holdaway's NPI number?

The NPI number for Brett Holdaway is 1700375763. It was assigned to this individual provider in the NPPES registry on May 5, 2018.

Where is Brett Holdaway located?

Brett Holdaway practices at 4540 E Baseline Rd Ste 108, Mesa, AZ 85206. The listed phone number is (480) 892-3880.

What is Brett Holdaway's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Brett Holdaway enrolled in Medicare?

Yes. Brett Holdaway is registered in the Medicare PECOS enrollment system.

What insurance does Brett Holdaway accept?

Health plans from Ambetter from Arizona Complete Health list Brett Holdaway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brett Holdaway was last updated on June 17, 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.