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TARA ELIZABETH HOLTER M.D.
NPI 1740522713
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since March 18, 2013PECOS Enrolled
300 CRITTENDEN BLVD, ROCHESTER, NY 14642(585) 275-6917(585) 276-2292 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tara Elizabeth Holter M.d. NPPES

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

TARA ELIZABETH HOLTER M.D. (NPI 1740522713) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740522713
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTARA ELIZABETH HOLTERCredential: M.D.
Location Address300 CRITTENDEN BLVDRochester, NY 14642-8409
Mailing Address300 Crittenden BlvdRochester, NY 14642-8409 · (585) 275-6917 · Fax (585) 276-2292
Phone(585) 275-6917
Fax(585) 276-2292
Sole ProprietorNo
Enumeration DateMarch 18, 2013
Last NPPES UpdateMarch 21, 2023
✔ NPI 1740522713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 279757 (NY)
300 CRITTENDEN BLVD, Rochester, NY 14642
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara Elizabeth Holter M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tara Holter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Rochester Department Of Psychiatry Clinical Group
Same address
Psychiatry
300 CRITTENDEN BLVD
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 191 clinicians in this Medicare group
NPI 1326088808 (585) 275-6733
University Of Rochester
0.2 mi
General Acute Care Hospital
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group
NPI 1346285657 (585) 275-2100

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

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.

DR. AILEEN ALDALUR PHD
Psychologist
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-3563
LINDA ALPERT-GILLIS PH.D.
Psychologist
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-6733
LAUREN MUTIGNANI PHD
Psychologist (Clinical Child & Adolescent)
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-2100
MARGARET CANDLER
Student in an Organized Health Care Education/Training Program
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-3563
ARJENA VALLS PALACIOS REESE
Student in an Organized Health Care Education/Training Program
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-3563
PETER C. BRITTON PH.D.
Psychologist (Clinical)
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-5488
DR. EUGENIO CONTRERAS IV M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-4501
BETH GOLDENBERG NP
Nurse Practitioner
300 CRITTENDEN BLVD
ROCHESTER, NY 14642
Monroe County (585) 275-6733

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 Tara Holter's NPI number?

The NPI number for Tara Holter is 1740522713. It was assigned to this individual provider in the NPPES registry on March 18, 2013.

Where is Tara Holter located?

Tara Holter practices at 300 Crittenden Blvd, Rochester, NY 14642. The listed phone number is (585) 275-6917.

What is Tara Holter's specialty?

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

Is Tara Holter enrolled in Medicare?

Yes. Tara Holter is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tara Holter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Holter reassigns Medicare benefits to 2 organizations: University Of Rochester Department Of Psychiatry Clinical Group (Rochester, NY) and University Of Rochester (Rochester, NY). Each 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 Tara Holter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tara Holter was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.