DR. ADRIANA K HOLY
NPI 1750575643
Specialist in Phoenix, AZ

Active since September 04, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4530 E SHEA BLVD, 101, PHOENIX, AZ 85028(602) 867-7546(608) 971-0065 Get Directions Write a Review

NPPES record last updated: December 16, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Adriana K Holy NPPES

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

DR. ADRIANA K HOLY (NPI 1750575643) is an individual specialist in Phoenix, Arizona, licensed in Arizona (BH2768957) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (1987).

NPPES Registry Identity

NPI1750575643
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. ADRIANA K HOLY
Location Address4530 E SHEA BLVD, 101Phoenix, AZ 85028-6065
Mailing Address4530 E Shea Blvd, Ste 101Phoenix, AZ 85028-6065 · (602) 867-7546 · Fax (608) 971-0065
Fax(608) 971-0065
Sole ProprietorYes
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1987
Enumeration DateSeptember 4, 2007
Last NPPES UpdateDecember 16, 2014
✔ NPI 1750575643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AZ · BH2768957
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4530 E SHEA BLVD, Phoenix, AZ 85028

Other Names 1

Professional Name (2)Dr. Adriana K Holy M.d.

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Adriana K Holy 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 ID3971537390
PECOS Enrollment IDI20050926000630
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 Adriana Holy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dermatology
4530 E SHEA BLVD, SUITE 101
Phoenix, AZ 85028
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: The Center For Advanced Dermatology PC
Dermatology
3400 E MCDOWELL RD FL 2
Phoenix, AZ 85008
  • Reassigned Medicare billing, Arizona enrollment
  • 10 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 27

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
2,108 services321 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
689 services414 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
628 services390 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
596 services332 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
360 services253 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
232 services187 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%319 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
81%330 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Family)
4530 E SHEA BLVD
PHOENIX, AZ 85028
Dentist (General Practice)
4530 E SHEA BLVD, SUITE # 125
PHOENIX, AZ 85028
Dentist (General Practice)
4530 E SHEA BLVD
PHOENIX, AZ 85028
Dentist (General Practice)
4530 E SHEA BLVD, SUITE 125
PHOENIX, AZ 85028
In Home Supportive Care
4530 E SHEA BLVD, SUITE 165
PHOENIX, AZ 85028
Dentist (General Practice)
4530 E SHEA BLVD, SUITE 125
PHOENIX, AZ 85028
Hospice Care, Community Based
4530 E SHEA BLVD, STE 165
PHOENIX, AZ 85028
Home Health
4530 E SHEA BLVD, SUITE 165
PHOENIX, AZ 85028

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 Adriana Holy's NPI number?

The NPI number for Adriana Holy is 1750575643. It was assigned to this individual provider in the NPPES registry on September 4, 2007. The provider is also known as Dr. Adriana K Holy M.D..

Where is Adriana Holy located?

Adriana Holy practices at 4530 E Shea Blvd 101, Phoenix, AZ 85028. The listed phone number is (602) 867-7546.

What is Adriana Holy's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Adriana Holy enrolled in Medicare?

Yes. Adriana Holy 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.

Which organizations bill Medicare for Adriana Holy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adriana Holy reassigns Medicare benefits to 2 organizations: The Center For Advanced Dermatology, P.C. (Phoenix, AZ) and Saguaro Dermatology Associates LLC (Phoenix, AZ). 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 Adriana Holy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adriana Holy accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and UnitedHealthcare list Adriana Holy 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 Adriana Holy was last updated on December 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.