Individual provider Active NPI

William Edward Holloway, MD

  • Vascular & Interventional Radiology Physician
  • Saint Louis, MO
National Provider Identifier
1649396334
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
2004028836 Issued in MO
Practice address
226 N Boyle Ave Apt 2N
Saint Louis, MO 63108-2922
Phone
(314) 535-3601
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 2004028836 MO Primary

Addresses

Primary practice location

226 N Boyle Ave Apt 2N
Saint Louis, MO 63108-2922

Mailing address

226 N Boyle Ave Apt 2N
Saint Louis, MO 63108-2922
Phone (314) 535-3601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, CO3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20090714000103 MO Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5092867648 Reassigns benefits to 1 organization
I20180110001040 KS Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5092867648 Reassigns benefits to 1 organization
I20241104002209 CO Practitioner - Diagnostic Radiology 5092867648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Chicago, Pritzker School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuro Interventional and Diagnostic Associates, PCGroup PAC ID 2961599725, 6 clinicians

Practice addresses (Care Compare)

28 C St
Lake Lotawana, MO 64086-9738
Phone (469) 757-1042

5851 S Colorado Blvd
Greenwood Village, CO 80121-1903
Phone (844) 584-2196

6201 Johnson Dr
Apt 442
Mission, KS 66202-3481
Phone (469) 757-1042

Hospital & facility affiliations

  • Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216
  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
  • Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • Saint Lukes North Hospital Hospital, Kansas City, MO, CCN 260062

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2004028836MOMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Interventional and Diagnostic Associates, PC CurrentSince Jul 1, 2009 Accepting new patients

Locations

4321 Washington St
Ste 1400
Kansas City, MO 64111
Phone (816) 257-1976

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

Organizations & group practices 1

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 8

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649396334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 N BOYLE AVE APT 2N",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082922",
            "telephone_number": "314-535-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 N BOYLE AVE APT 2N",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082922",
            "telephone_number": "314-535-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "WILLIAM",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MO",
            "license": "2004028836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.