Peter S Holt, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

R9E05 Issued in MO

Practice address

4321 Washington St Ste 3000
Kansas City, MO 64111-5928

Phone

(816) 932-3100

Fax

(816) 932-6871

NPI assigned

May 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS, MO2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Saint Lukes Hospice of Leavenworth LLC

  • Community Based Hospice Care Agency
  • Leavenworth, KS
  • NPI 1851332639

  Corporate Director, Corporate Officer

  CMS ownership

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.

• Kansas City Physician Partners Inc

  • Rheumatology Physician
  • Kansas City, MO
  • NPI 1831531466

  Geriatric Medicine

  Medicare reassignment NPD
• Saint Luke's Physician Group Inc

  dba Saint Luke's Medical Group

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1093263717

  KS

  Medicare reassignment NPD
• Kansas City Physician Partners, Inc.

  • Rheumatology Physician
  • Overland Park, KS
  • NPI 1497182539

  Geriatric Medicine

  Medicare reassignment NPD
• Saint Luke's Physician Partners, Inc.

  • Geriatric Medicine (Internal Medicine) Physician
  • Kansas City, MO
  • NPI 1336461276
  NPD (past)
• The Bishop Spencer Place, Inc.

  • Skilled Nursing Facility
  • Kansas City, MO
  • NPI 1629076872
  NPD (past)
• Brian K. Haith DPM PA

  • Primary Podiatric Medicine Podiatrist
  • Leawood, KS
  • NPI 1396952990
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1740247873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 WASHINGTON ST STE 3000",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115928",
            "telephone_number": "816-932-3100",
            "fax_number": "816-932-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 WASHINGTON ST STE 3000",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115928",
            "telephone_number": "816-932-3100",
            "fax_number": "816-932-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "PETER",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "KS",
            "license": "04-22651",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MO",
            "license": "R9E05",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202650313",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holmesdale Healthcare and Rehabilitation Center, LLC (Holmesdale Healthcare and Rehabilitation Center)
• Johanna Holswade, LPC
• Jeffrey Edward Holt, LPC, NCC
• Kathryn Marie Holt, PHARMD
• Olivia Jo Holt
• Maxwell David Holtmann, MD
• Caroline Rowley Holton, M.D.
• Cory James Holtwick, D.C. NP-C
• Loren Eugene Holtz, RPH
• Anna Holtzclaw, LMSW

• Geriatric Medicine (Internal Medicine) Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Geriatric Medicine (Internal Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.