Active NPI
Craig S Holzem, M.D.
- Family Medicine Physician
- Washington, MO
National Provider Identifier
1699748103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R1H43
- Practice address
- 1721 Heritage Hills Dr
Washington, MO 63090-4621 - Phone
- (636) 231-6660
- Fax
- (636) 231-6663
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R1H43 | MO | Primary |
Addresses
Primary practice location
1721 Heritage Hills Dr
Washington, MO 63090-4621
Mailing address
PO Box 419052
Saint Louis, MO 63141-9052
Phone (314) 851-1000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202945234 | Medicaid | MO | |
| 080121826 | Other | RAILROAD MEDICARE | |
| P01134647 | Other | MO | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100511000850 | MO | Practitioner - Family Practice | 9335033075 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Missouri, Kansas City, School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- American Multispecialty Group Inc
Practice addresses (Care Compare)
1721 Heritage Hills Dr
Washington, MO 63090-4621
Phone (636) 231-6660
Hospital & facility affiliations
- Mercy Home Health
- Mercy Hospice
- Mercy Hospital Washington
- Mercy Hospital St Louis
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patients First Health Care LLC | Family Medicine | Current | Accepting new patients |
| Esse Health Heal at Home LLC | Family Medicine | Past | Accepting new patients |
| English and McLaughlin, P.C. | Family Medicine | Past | Accepting new patients |
Locations
1015 Bowles Ave
Ste 1000
Fenton, MO 63026
Phone (636) 390-1400
9513 Highway 100
New Haven, MO 63068
Phone (573) 237-6100
901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500
851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101
Interoperability endpoints
- craig.holzem.p1@direct.essehealth.nextgenshare.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Washington, MO
- NPI 1962441386
Family Medicine
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1801518592
Family Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Saint Louis, MO
- NPI 1154407112
-
- Community Based Hospice Care Agency
- Saint Louis, MO
- NPI 1487739033
Hospice
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1699748103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 419052",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631419052",
"telephone_number": "314-851-1000",
"fax_number": "314-851-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 HERITAGE HILLS DR",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630904621",
"telephone_number": "636-231-6660",
"fax_number": "636-231-6663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLZEM",
"first_name": "CRAIG",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "R1H43",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202945234",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080121826",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01134647",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.