Individual provider Active NPI

Daniel Kevin Holt, MD

  • Diagnostic Radiology Physician
  • Saint Louis, MO
National Provider Identifier
1033420112
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2015009566 Issued in MO
Practice address
3635 Vista Ave
Saint Louis, MO 63110-2539
Phone
(314) 268-5783
Fax
(314) 268-5116
NPI assigned
Jun 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2015009566 MO Primary

Addresses

Primary practice location

3635 Vista Ave
Saint Louis, MO 63110-2539

Mailing address

3635 Vista Ave
Saint Louis, MO 63110-2539
Phone (314) 268-5783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150504001270 MO Practitioner - Diagnostic Radiology 6608005756 Reassigns benefits to 3 organizations
I20170522001433 WI Practitioner - Diagnostic Radiology 6608005756 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Saint Louis University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Radiologists S CGroup PAC ID 1951209311, 58 clinicians
Dean Health Systems IncGroup PAC ID 7012827983, 1,174 clinicians

Practice addresses (Care Compare)

11101 N Sherman Rd
Edgerton, WI 53534-9002
Phone (608) 884-3441

1515 Park Ave
Columbus, WI 53925-1618
Phone (920) 623-2200

1821 S Stoughton Rd
Madison, WI 53716-2257
Phone (608) 260-6000

1900 N Dewey Ave
Reedsburg, WI 53959-2214
Phone (608) 524-6487

2000 N Dewey Ave
Reedsburg, WI 53959-1049
Phone (608) 524-6487

260 26TH St
Prairie Du Sac, WI 53578-2203
Phone (608) 643-3311

3400 E Racine St
Janesville, WI 53546-2344
Phone (608) 373-8000

4901 Cottage Grove Rd
Madison, WI 53716-1392
Phone (608) 221-1501

515 22ND Ave
Monroe, WI 53566-1569
Phone (608) 324-1000

700 S Park St
Madison, WI 53715-1830
Phone (608) 251-6100

707 14TH St
Baraboo, WI 53913-1539
Phone (608) 356-1400

800 Clay St
Darlington, WI 53530-1228
Phone (608) 776-4466

800 Compassion Way
Dodgeville, WI 53533-1956
Phone (608) 935-2711

900 Ridge St
Stoughton, WI 53589-1864
Phone (608) 873-6611

Hospital & facility affiliations

  • SSM Health St Mary'S Hospital - Madison Hospital, Madison, WI, CCN 520083
  • Sauk Prairie Hospital Hospital, Prairie Du Sac, WI, CCN 520095
  • The Monroe Clinic Hospital, Monroe, WI, CCN 520028
  • Reedsburg Area Medical Center Hospital, Reedsburg, WI, CCN 521351
  • SSM Health St Clare Hospital - Baraboo Hospital, Baraboo, WI, CCN 520057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Health Systems, Inc. CurrentSince Jun 1, 2017 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
SSM Cardinal Glennon Children'S Hospital CurrentSince Jul 1, 2016 Accepting new patients
Washington University Diagnostic Radiology CurrentSince Jun 15, 2015 Accepting new patients
Beloit Radiology LTD Diagnostic Radiology CurrentSince May 31, 2020 Accepting new patients
Radiology Associates of the Fox Valley, SC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
SSM Health Care St Louis CurrentSince Jul 1, 2016 Accepting new patients
Dean Health Systems, Inc CurrentSince Jun 1, 2017 Accepting new patients
SSM Cardinal Glennon Childrens Hospital CurrentSince Jul 1, 2016 Accepting new patients
SSM Health Care St. Louis CurrentSince Jul 1, 2016 Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

510 S Kingshighway Blvd
Saint Louis, MO 63110
Phone (314) 362-0177

1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

800 Clay St
Darlington, WI 53530
Phone (608) 776-4466

1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497

1821 S Stoughton Rd
Madison, WI 53716
Phone (608) 260-6000

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

900 Ridge St
Stoughton, WI 53589
Phone (608) 231-3410

800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000

Interoperability endpoints

  • Direct secure messaging: dholt627759@direct.unitypoint.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1033420112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 VISTA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102539",
            "telephone_number": "314-268-5783",
            "fax_number": "314-268-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 VISTA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102539",
            "telephone_number": "314-268-5783",
            "fax_number": "314-268-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "DANIEL",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-23",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2015009566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.