MR. JORDAN MICHAEL HOLT (CAA) – Anesthesiology Physician, NPI 1699232736
Anesthesiology Physician
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NPPES metrics only — not quality of care.
30 ANESTHESIOLOGY ASSISTANT in OK
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Provider Addresses for MR. JORDAN MICHAEL HOLT (CAA)
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752840848
Phone: (972) 283-1999
Fax: (972) 233-2666
Type: Mailing
INTEGRIS Baptist Medical Center, 3300, Northwest Expressway, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States
OKLAHOMA CITY, OK 731124418
Phone: (405) 949-6652
Type: Location
3300 NW Expressway
Oklahoma City, OK 731124418
Phone: (405) 949-6652
Type: Location
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
2401 W UNIVERSITY AVE
MUNCIE, IN 473033428
Phone: (765) 751-2649
Fax: (765) 281-6671
Type: Location
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: 2025-12-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221114002583 | I | Anesthesiology Assistant | IN | TBD |
| I20251218004642 | I | Anesthesiology Assistant | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 56 | 55 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 39 | 39 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 18 | 17 | $0 |
| 01214 | Anesthesia for total hip replacement | 12 | 12 | $0 |
Insurance plans in this area (ZIP 75284)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nephrology, Internal Medicine | IN | |
| General Surgery | MI | |
| - | OH | |
| Family Practice | IN | |
| H E M A T O L O G Y/ O N C O L O G Y | NC | |
| Infectious Disease, Internal Medicine | NJ | |
| Cardiovascular Disease (Cardiology), Internal Medicine | IN | |
| Clinical Social Worker | IN | |
| - | IN |
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