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SHELDON HOLDER MD
NPI 1952509127
Internal Medicine - Hematology & Oncology in Providence, RI

Active since July 10, 2007PECOS EnrolledAccepts Medicare Assignment
593 EDDY STREET, APC MAIN, PROVIDENCE, RI 02903(401) 444-5435 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sheldon Holder Md NPPES

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

SHELDON HOLDER MD (NPI 1952509127) is an individual hematology & oncology provider in Providence, Rhode Island, licensed in Rhode Island (MD17540) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of Loma Linda University School Of Medicine (2007).

NPPES Registry Identity

NPI1952509127
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameSHELDON HOLDERCredential: MD
Location Address593 EDDY STREET, APC MAINProvidence, RI 02903
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541 · (401) 444-6779
Phone(401) 444-5435
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2007
Enumeration DateJuly 10, 2007
Last NPPES UpdateMay 6, 2021
NPPES CertifiedApril 8, 2021
✔ NPI 1952509127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in RI · MD17540✔ Licensed in PA · MD448690
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
593 EDDY STREET, Providence, RI 02903
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority 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 and accepts Medicare assignment

Sheldon Holder Md 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 ID9436391497
PECOS Enrollment IDI20210415000329, I20251010001496
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 3

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.
86 services40 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services13 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.
19 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230236
Location5900 Byron Center Avenue, SWWyoming, MI 49519 · Kent County
Emergency services Birthing friendly

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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
$177.03 typical visit price
range $58.57 – $177.03
Typical copayment $44.25 (range $14.64 – $44.25)
Most-billed visit code 99205
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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 20

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

BRIAN F GIRARD CRNA
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Providence County (401) 444-4933
PETER W WOLFERSEDER CRNA
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Providence County (401) 444-4933
MARIE A MILLS CRNA
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Providence County (401) 444-4933
BETH VANPRAAG CRNA
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Providence County (401) 444-4933
JONATHAN D URI MD
Anesthesiology
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Providence County (401) 444-4933
CHRISTINE MARIE RAMALHO DMD
Dentist (General Practice)
593 EDDY STREET, JOSEPH SAMUELS DENTAL CENTER AT RIH
PROVIDENCE, RI 02903
Providence County (401) 444-7195
ANGELA THOMAS CRNA
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Providence County (401) 444-4933
NICOLE BRETING APRN
Nurse Practitioner
593 EDDY STREET, APC 4
PROVIDENCE, RI 02903
Providence County (401) 553-8355

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 Sheldon Holder's NPI number?

The NPI number for Sheldon Holder is 1952509127. It was assigned to this individual provider in the NPPES registry on July 10, 2007.

Where is Sheldon Holder located?

Sheldon Holder practices at 593 Eddy Street Apc Main, Providence, RI 02903. The listed phone number is (401) 444-5435.

What is Sheldon Holder's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Sheldon Holder enrolled in Medicare?

Yes. Sheldon Holder 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 Sheldon Holder accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Sheldon Holder 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 Sheldon Holder affiliated with any hospitals?

According to CMS data, Sheldon Holder is affiliated with Mercy Health Saint Mary's, University Of Michigan Health - West, Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Sheldon Holder was last updated on May 6, 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.