Active NPI
Torbjorg Holtestaul, MD
- Surgery Physician
- Fort Campbell, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 31161
- Practice address
- 650 Joel Dr
Fort Campbell, KY 42223-5318 - Phone
- (270) 798-8400
- NPI assigned
- Mar 7, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 9471653 | ID | |
| Surgery Physician | 208600000X | 31161 | NE | Primary |
Addresses
Primary practice location
650 Joel Dr
Fort Campbell, KY 42223-5318
Mailing address
650 Joel Dr
Fort Campbell, KY 42223-5318
Phone (270) 798-8400
Other practice location 1
520 S Eagle Rd Ste 1241
Meridian, ID 83642-6355
Phone (208) 381-6930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IA, ID, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Colorado School of Medicine, Aurora, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Medford Hospital and Clinics Inc
Practice addresses (Care Compare)
100 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2983
143 S Gibson St
Medford, WI 54451-1622
Phone (715) 748-8100
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-9384
608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970
610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970
9580 W St Lukes Dr
Nampa, ID 83687-7912
Phone (208) 505-2711
9850 St Lukes Dr
Nampa, ID 83687-7912
9850 W St Luke's Dr
Nampa, ID 83687-7912
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9471653 | ID | MD | Surgery Physician |
| 31161 | NE | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Treasure Valley LLC | Surgery | Current | Accepting new patients |
| St Lukes Clinic-Treasure Valley LLC | Current | Accepting new patients | |
| Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin | Current | Accepting new patients | |
| Divine Savior Healthcare, Inc. | Current | Accepting new patients | |
| Physicians Clinic Inc | Surgery | Current | Accepting new patients |
| Aspirus Medford Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Medford Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Medical Group, Inc. | Current | Accepting new patients | |
| Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin | Current | Accepting new patients | |
| Divine Savior Healthcare, Inc. | Current | Accepting new patients | |
| Aspirus Medford Hospital & Clinics, Inc. | Current | Accepting new patients | |
| St Lukes Regional Medical Center | Past | Accepting new patients |
Locations
201 Ridge St
Ste 214
Council Bluffs, IA 51503
Phone (712) 328-2616
1 Edmundson Pl
Council Bluffs, IA 51503
Phone (712) 396-4000
100 E Warm Springs Ave
#B
Boise, ID 83712
Phone (208) 381-6930
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
520 S Eagle Rd
Ste 1241
Meridian, ID 83642
Phone (208) 288-2255
9850 W St Lukes Dr
Ste 260
Nampa, ID 83687
Phone (208) 381-3915
29980 Network Pl
Chicago, IL 60673
10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405
825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370
110 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2351
143 S Gibson St
Medford, WI 54451
Phone (715) 748-2121
2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598
Interoperability endpoints
- tholtestaul373225@direct.aspirus.org
Organizations & group practices 12
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.
-
dba Aspirus Gilman Clinic
- Rural Health Clinic/Center
- Gilman, WI
- NPI 1285703173
-
dba Aspirus Medford Hospital
- Critical Access Hospital
- Medford, WI
- NPI 1619079597
-
dba Aspirus Divine Savior Hospital
- General Acute Care Hospital
- Portage, WI
- NPI 1124083894
-
dba Aspirus Elcho Clinic
- Rural Health Clinic/Center
- Elcho, WI
- NPI 1831251040
-
dba Methodist Physicians Clinic
- Family Medicine Physician
- Omaha, NE
- NPI 1821049156
IA, Surgery
-
- Medicare Defined Swing Bed Hospital Unit
- Medford, WI
- NPI 1427105923
-
dba Aspirus Rhinelander Clinic
- Clinic/Center
- Rhinelander, WI
- NPI 1679757751
-
dba Aspirus Portage Clinic
- Rural Health Clinic/Center
- Portage, WI
- NPI 1386154417
-
dba Aspirus Antigo Clinic
- Rural Health Clinic/Center
- Antigo, WI
- NPI 1821151366
-
dba St Lukes RHC - Trinity Mountain
- Family Medicine Physician
- Mountain Home, ID
- NPI 1417297821
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hopkinsville, KY
- NPI 1235139312
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746748800000",
"number": "1295275428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 JOEL DR",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "422235318",
"telephone_number": "270-798-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 JOEL DR",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "422235318",
"telephone_number": "270-798-8400"
}
],
"practiceLocations": [
{
"address_1": "520 S Eagle Rd Ste 1241",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836426355",
"country_code": "US",
"telephone_number": "208-381-6930",
"fax_number": "208-381-6931",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLTESTAUL",
"first_name": "TORBJORG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-07",
"last_updated": "2025-05-09",
"certification_date": "2025-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ID",
"license": "9471653",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NE",
"license": "31161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Campbell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.