DR. MATTHEW D HOLMES MD
NPI 1811699598
Student in an Organized Health Care Education/Training Program in Fairborn, OH

Q: What is Matthew Holmes's NPI number?

The NPI number for Matthew Holmes is 1811699598. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Matthew Holmes's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Holmes was last updated on June 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 20, 2023PECOS Enrolled

2555 UNIVERSITY DR, FAIRBORN, OH 45324(937) 775-8188 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 6, 2023, Jun 2, 2023, Mar 22, 2023 (3 updates tracked since 2023).

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About Dr. Matthew D Holmes Md NPPES

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

DR. MATTHEW D HOLMES MD (NPI 1811699598) is an individual student in an organized health care education/training program in Fairborn, Ohio and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dayton.

NPPES Registry Identity

NPI1811699598

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. MATTHEW D HOLMESCredential: MD

Location Address2555 UNIVERSITY DRFairborn, OH 45324-6255

Mailing Address4881 Sugar Maple DrDayton, OH 45433-5529 · (937) 656-3172

Phone(937) 775-8188

Sole ProprietorNo

Enumeration DateMarch 20, 2023

Last NPPES UpdateJune 6, 20233 updates tracked since enumeration

NPPES CertifiedJune 6, 2023

✔ NPI 1811699598 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 ListedMilitary Health Care ProviderTaxonomy 171000000X

2555 UNIVERSITY DR, Fairborn, OH 45324

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Secondary Practice Location 1

Location 14881 Sugar Maple DrDayton, OH 45433-5529 · Phone (937) 656-3172

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew D Holmes Md 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.

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.

SENECA MARIE CARDIFF DO

Student in an Organized Health Care Education/Training Program