DR. WALTER BLAKE II HOLLOWAY (MD) – Emergency Medicine Physician, NPI 1568923381

DR. WALTER BLAKE II HOLLOWAY (MD) is a healthcare provider. based in Mobile, Alabama. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD.41582 (AL). The NPI Number for DR. WALTER BLAKE II HOLLOWAY (MD) is 1568923381

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. WALTER BLAKE II HOLLOWAY (MD)
NPI
1568923381
Phone
Not provided
Address
2451 UNIVERSITY HOSPITAL DR RM 714
Enumeration Date
26 March 2019
Last Update Date
2 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2563864196
Graduation Year
2019 (7 years ago)
PAC ID
7416381751
Group Practice PAC ID
8628224425
Professional Enrollment ID
I20210818000556
Address ID
AL356606367SH1300XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

702 EMERGENCY MEDICINE in AL

Provider Addresses for DR. WALTER BLAKE II HOLLOWAY (MD)

  • 2451 UNIVERSITY HOSPITAL DR RM 714

    MOBILE, AL 366172300

    Phone:

    Type: Mailing

  • 619 19th St S

    Birmingham, AL 352331900

    Phone: (205) 934-4011

    Type: Location

  • 101 SIVLEY RD SW

    HUNTSVILLE, AL 358014470

    Phone: (256) 265-1000

    Type: Location

  • PO BOX 746450

    ATLANTA, GA 303746450

    Phone: (251) 434-3626

    Fax: (251) 445-2464

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2024-10-11 • Largest payer in this snapshot: PFIZER INC. ($32).

Total Amount

$48

General + Research + Ownership

Payments

3

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210818000556IEmergency MedicineALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making226222$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only216200$0
99291Critical care, first 30-74 minutes9391$0
99284Emergency department visit with moderate level of medical decision making3636$0
View full utilization report →

Insurance plans in this area (ZIP 36617)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628224425View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL
Family PracticeAL
Emergency MedicineAL
Nurse PractitionerAL
Nurse PractitionerMS
Nurse PractitionerAL

Reviews

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Frequently asked questions

What number should I use to identify DR. WALTER BLAKE II HOLLOWAY (MD) for billing?
Administrative and clinical systems typically use NPI 1568923381 for DR. WALTER BLAKE II HOLLOWAY (MD).
Should I treat DR. WALTER BLAKE II HOLLOWAY (MD) as an active provider?
Patients and plans typically see DR. WALTER BLAKE II HOLLOWAY (MD) as active in the national extract.
What does the directory say DR. WALTER BLAKE II HOLLOWAY (MD) does?
Insurance directories may phrase it differently, but here DR. WALTER BLAKE II HOLLOWAY (MD) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. WALTER BLAKE II HOLLOWAY (MD)?
DR. WALTER BLAKE II HOLLOWAY (MD) is associated with Mobile, Alabama in the same public data insurers reference.
Who maintains DR. WALTER BLAKE II HOLLOWAY (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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