DR. ALISSA KAY HOLMAN (M.D.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1255581336

DR. ALISSA KAY HOLMAN (M.D.) is a healthcare provider. based in Saint clair shores, Michigan. specializing in CRITICAL CARE (INTENSIVISTS), HOSPITALIST. They hold the professional credentials M.D.. They hold a License No. 25MA10279500 (NJ). The NPI Number for DR. ALISSA KAY HOLMAN (M.D.) is 1255581336

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALISSA KAY HOLMAN (M.D.)
NPI
1255581336
Phone
(586) 214-7836
Address
322 NORTHSHORE DR
Enumeration Date
24 September 2008
Last Update Date
13 April 2024

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2014181000
Graduation Year
2008 (18 years ago)
PAC ID
5597066753
Group Practice PAC ID
8426190687
Professional Enrollment ID
I20180606000972
Address ID
NJ070303808HO308XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

681 CRITICAL CARE (INTENSIVISTS) in MI

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Provider Addresses for DR. ALISSA KAY HOLMAN (M.D.)

  • Northshore Drive, Saint Clair Shores, Macomb County, Michigan, 48080, United States

    SAINT CLAIR SHORES, MI 480802803

    Phone: (586) 214-7836

    Type: Mailing

  • 9740, Conant Street, Hamtramck, Wayne County, Michigan, 48212, United States

    HAMTRAMCK, MI 482123307

    Phone: (313) 556-9900

    Type: Location

  • 530 NEW BRUNSWICK AVE

    PERTH AMBOY, NJ 088613654

    Phone: (732) 442-3700

    Type: Location

  • 5 APPLEGATE TER

    MANALAPAN, NJ 077268607

    Phone: (586) 214-7638

    Type: Mailing

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: 2018-06-06

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
I20180606000972ICritical Care (Intensivists)NJTBD

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
99291Critical care, first 30-74 minutes332134$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes15997$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2928$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2922$0
View full utilization report →

Insurance plans in this area (ZIP 48080)

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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: 8426190687View full group profile
NameSpecialtyState
-NJ
Family PracticeNJ
-MA
A N E S T H E S I O L O G YNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
Family PracticeNJ
Physician AssistantNJ
-NJ
Diagnostic RadiologyNY
Nurse PractitionerNY

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Frequently asked questions

Can I use this page to confirm DR. ALISSA KAY HOLMAN (M.D.)'s NPI?
Yes. DR. ALISSA KAY HOLMAN (M.D.) is listed with NPI 1255581336 in the public NPI dataset.
Can I rely on DR. ALISSA KAY HOLMAN (M.D.) being an active provider?
As of the registry snapshot, DR. ALISSA KAY HOLMAN (M.D.) is marked active.
What taxonomy line describes DR. ALISSA KAY HOLMAN (M.D.)?
For research purposes, treat DR. ALISSA KAY HOLMAN (M.D.) as Critical Care Medicine (Internal Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. ALISSA KAY HOLMAN (M.D.) serve?
DR. ALISSA KAY HOLMAN (M.D.)'s listing highlights Saint Clair Shores, Michigan; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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