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JOHN H HOLDEN M.D.
NPI 1851611321
Internal Medicine - Gastroenterology in Indianapolis, IN

Active since June 08, 2010PECOS EnrolledAccepts Medicare Assignment
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202(888) 484-3258 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 12, 2025, Jan 13, 2021, Oct 27, 2017 (3 updates tracked since 2017).

About John H Holden M.d. NPPES

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

JOHN H HOLDEN M.D. (NPI 1851611321) is an individual gastroenterology provider in Indianapolis, Indiana, licensed in Indiana (01073706A) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and is a graduate of Indiana University School Of Medicine (2010).

NPPES Registry Identity

NPI1851611321
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameJOHN H HOLDENCredential: M.D.
Location Address1701 N SENATE BLVDIndianapolis, IN 46202-1239
Mailing Address250 N Shadeland Ave Ste 200Indianapolis, IN 46219-4959 · (877) 668-5621
Phone(888) 484-3258
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2010
Enumeration DateJune 8, 2010
Last NPPES UpdateMarch 12, 20253 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1851611321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in IN · 01073706A✔ Licensed in IN · 01073706B
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License L-243906 (MA)
1701 N SENATE BLVD, Indianapolis, IN 46202
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Other Identifiers 2

Medicaid300004897IN
Other264910146IN · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

John H Holden M.d. 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 ID446410385
PECOS Enrollment IDI20170706001791
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.

Areas of Expertise CMS Part B claims 8

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.

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.
190 services130 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
74 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 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.
14 services14 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Iu Health West Hospital

Acute Care Hospitals · Avon, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150158
Location1111 N Ronald Reagan PkwyAvon, IN 46123 · Hendricks County
Emergency services Birthing friendly

Indiana University Health Arnett Hospital

Acute Care Hospitals · Lafayette, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150173
Location5165 Mccarty LnLafayette, IN 47905 · Tippecanoe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cyclosporine, oral, 100 mg J7502
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers12 claims720 services$1.54 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
27 suppliers246 claims19,470 services$0.30 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers24 claims4,020 services$0.61 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers45 claims6,480 services$0.19 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
11 suppliers71 claims7,112 services$0.97 avg. paid by Medicare
Sirolimus, oral, 1 mg J7520
Treatment-Treatment - Miscellaneous · category RX029N
8 suppliers105 claims4,365 services$2.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

THOMAS M DONAHUE MD
Anesthesiology
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 577-4200
DR. GINA MARIE DIANTONIO SWARTZEL M.D.
Emergency Medicine
1701 N SENATE BLVD, B401
INDIANAPOLIS, IN 46202
Marion County (317) 962-5975
NASER A KAFEEL DO
Internal Medicine
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-8776
ZACHARY JARRETT DO
Internal Medicine (Critical Care Medicine)
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-5820
BARBRA A BACHMEIER NP
Nurse Practitioner (Family)
1701 N SENATE BLVD, RM AG 001
INDIANAPOLIS, IN 46202
Marion County (317) 962-3886
MARK H HOYER MD
Pediatrics (Pediatric Cardiology)
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 678-3900
SHALINI K MANCHANDA MD
Internal Medicine (Sleep Medicine)
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (888) 484-3258
SEAN DAVID GUSSICK MD
Radiology (Diagnostic Radiology)
1701 N SENATE BLVD, RADIOLOGY DEPT
INDIANAPOLIS, IN 46202
Marion County (317) 962-5740

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 John Holden's NPI number?

The NPI number for John Holden is 1851611321. It was assigned to this individual provider in the NPPES registry on June 8, 2010.

Where is John Holden located?

John Holden practices at 1701 N Senate Blvd, Indianapolis, IN 46202. The listed phone number is (888) 484-3258.

What is John Holden's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is John Holden enrolled in Medicare?

Yes. John Holden 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.

What insurance does John Holden accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list John Holden 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.

Is John Holden affiliated with any hospitals?

According to CMS data, John Holden is affiliated with Indiana University Health Bloomington Hospital, Indiana University Health, Indiana University Health Ball Memorial Hospital, Iu Health West Hospital and Indiana University Health Arnett Hospital.

When was this NPI record last updated?

The NPPES record for John Holden was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.