Individual provider Active NPI

Philip Holzknecht, M.D.

  • Orthopaedic Surgery Physician
  • South Boston, VA
National Provider Identifier
1063423929
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101244982 Issued in VA
Practice address
422 Hamilton Blvd
South Boston, VA 24592-5200
Phone
(434) 572-4074
Fax
(434) 572-4712
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0101244982 VA Primary

Addresses

Primary practice location

422 Hamilton Blvd
South Boston, VA 24592-5200

Mailing address

422 Hamilton Blvd
South Boston, VA 24592-5200
Phone (434) 572-4074

Other practice location 1

3701 Fairways Ct
Fredericksburg, VA 22408-0236
Phone (540) 848-1959

Other identifiers 5

IdentifierTypeStateIssuer
L3343OtherTXMEDICAL LICENSE
P00045079OtherTXMEDICARE RR
148526001MedicaidTX
0076948OtherTXBLUE LINK
8F4790OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090805000258 VA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 2264585405 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Georgetown University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dominion Health Medical AssocGroup PAC ID 1254311558, 35 clinicians

Practice addresses (Care Compare)

422 Hamilton Blvd
South Boston, VA 24592-5200
Phone (434) 572-4074

Hospital & facility affiliations

  • 1St Care Home Health South Boston Home health agency, South Boston, VA, CCN 497021
  • Sentara Halifax Regional Hospital Hospital, South Boston, VA, CCN 490013

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Orthopaedics & Sports Medicine Orthopaedic Surgery CurrentSince Jun 29, 2009 Accepting new patients
Dominion Health Medical Assoc. Orthopaedic Surgery CurrentSince Oct 26, 2020 Accepting new patients
Dominion Health Medical Assoc. Current Accepting new patients
Dominion Health Medical Assoc CurrentSince Oct 26, 2020 Accepting new patients
Scotland Orthopedics, PA Past Accepting new patients
Scotland Orthopedics, PA Orthopaedic Surgery Past Accepting new patients
Holzknecht Family Orthopedics of S Texas Past Accepting new patients
Scotland Orthopedics, PA Orthopaedic Surgery Past Accepting new patients
Dominion Health Medical Associates LTD Past Accepting new patients

Locations

501 Park Hill Dr
Fredericksburg, VA 22401
Phone (540) 372-6737

422 Hamilton Blvd
South Boston, VA 24592
Phone (434) 572-4074

2232 Wilborn Ave
Ste F
South Boston, VA 24592
Phone (434) 517-8095

Interoperability endpoints

  • Direct secure messaging: pholzknecht647199@direct.sentara.net
  • Direct secure messaging: philipholzknecht@cvosm.allscriptsdirect.net

Organizations & group practices 9

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 2

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1063423929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 HAMILTON BLVD",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245925200",
            "telephone_number": "434-572-4074",
            "fax_number": "434-572-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 HAMILTON BLVD",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245925200",
            "telephone_number": "434-572-4074",
            "fax_number": "434-572-4712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 Fairways Ct",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224080236",
            "country_code": "US",
            "telephone_number": "540-848-1959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLZKNECHT",
        "first_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101244982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "L3343",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00045079",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148526001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK",
            "identifier": "0076948",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8F4790",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, VA

Sources for this page

Verify at the official NPI Registry.