EMILY HOLLYWOOD (MD) – Emergency Medicine Physician, NPI 1255650149

EMILY HOLLYWOOD (MD) is a healthcare provider. based in Southington, Connecticut. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 52145 (CT). The NPI Number for EMILY HOLLYWOOD (MD) is 1255650149

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
EMILY HOLLYWOOD (MD)
NPI
1255650149
Phone
(203) 768-1844
Address
73 S PLAINS RD
Enumeration Date
18 May 2010
Last Update Date
23 July 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2032764925
Graduation Year
2010 (16 years ago)
PAC ID
5496997918
Group Practice PAC ID
9335051432
Professional Enrollment ID
I20130813000802
Address ID
CT069022594ST32XXXCTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

839 EMERGENCY MEDICINE in CT

Provider Addresses for EMILY HOLLYWOOD (MD)

  • 73 S PLAINS RD

    SOUTHINGTON, CT 064893966

    Phone: (203) 768-1844

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-08-13

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
I20130813000802IEmergency MedicineCTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes110107$0
99213Established patient office or other outpatient visit, 20-29 minutes9891$0
99203New patient office or other outpatient visit, 30-44 minutes9089$0
99204New patient office or other outpatient visit, 45-59 minutes6060$0
View full utilization report →

Insurance plans in this area (ZIP 06489)

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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: 9335051432View full group profile
NameSpecialtyState
Physician AssistantCT
Physician AssistantNY
Physician AssistantNY
Emergency MedicineCT
Emergency MedicineCT
Emergency MedicineNY
Emergency MedicineCT
Physician AssistantCT
Physician AssistantNY
Emergency MedicineNY

Reviews

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Frequently asked questions

Can I cross-check EMILY HOLLYWOOD (MD) using NPI 1255650149?
NPI 1255650149 belongs to EMILY HOLLYWOOD (MD); compare other details if you need extra assurance.
Is EMILY HOLLYWOOD (MD) still an active registrant?
EMILY HOLLYWOOD (MD) carries an active NPI according to the public dataset.
What area of care is associated with EMILY HOLLYWOOD (MD)?
EMILY HOLLYWOOD (MD)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for EMILY HOLLYWOOD (MD)?
Travel planning: use Southington, Connecticut as the reference point for EMILY HOLLYWOOD (MD), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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