Individual provider Active NPI

John J Holtzman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Saint Louis, MO
National Provider Identifier
1851361133
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000765 Issued in MO
Practice address
621 S New Ballas Rd
Suite 7005B
Saint Louis, MO 63141-8232
Phone
(314) 991-3668
Fax
(314) 991-3665
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 000765 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd
Suite 7005B
Saint Louis, MO 63141-8232

Mailing address

PO Box 78219
Saint Louis, MO 63178-8219
Phone (314) 989-0300

Other identifiers 1

IdentifierTypeStateIssuer
303848519MedicaidMO

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050915000072 MO Practitioner - Podiatry 8527950971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Next Step Foot and Ankle Centers, Inc.Group PAC ID 5395738207, 29 clinicians

Practice addresses (Care Compare)

500 W Pine St
Farmington, MO 63640-1426
Phone (573) 756-8986

Hospital & facility affiliations

  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031

Merit-based Incentive Payment System (MIPS)

Final score
84.29 of 100Reported as group
Promoting interoperability
79
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue15
Removal of skin lesions63
Removal of nail tissue20
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000765MOMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Next Step Foot & Ankle Centers, Inc Foot & Ankle Surgery CurrentSince Jan 1, 2023 Accepting new patients
Next Step Foot and Ankle Centers, Inc Foot & Ankle Surgery CurrentSince Jan 1, 2023 Accepting new patients
Orthopedic & Sports Medicine Inc Past Accepting new patients

Locations

1515 Astra Way
Arnold, MO 63010
Phone (636) 296-4051

16 Municipal Dr
Ste E
Arnold, MO 63010
Phone (636) 296-1093

3445 Bridgeland Dr
Bridgeton, MO 63044
Phone (314) 739-7100

500 W Pine St
Farmington, MO 63640
Phone (573) 701-9249

662 Saint Ferdinand St
Florissant, MO 63031
Phone (314) 921-1020

141 E Madison Ave
Ste 100
Kirkwood, MO 63122
Phone (314) 821-8855

5139 Mattis Rd
Ste 102
Saint Louis, MO 63128
Phone (314) 396-9517

621 S New Ballas Rd
Ste 7005B
Saint Louis, MO 63141
Phone (314) 207-4064

633 Emerson Rd
Ste 120
Saint Louis, MO 63141
Phone (314) 991-2090

11709 Old Ballas Rd
Ste 201
Saint Louis, MO 63141
Phone (314) 432-1903

3915 Watson Rd
Ste 101
Saint Louis, MO 63109
Phone (314) 352-2711

1031 Bellevue Ave
Ste 349
Saint Louis, MO 63117
Phone (314) 367-6545

621 S New Ballas Rd
Ste 7005
Saint Louis, MO 63141
Phone (314) 207-4064

12152 Tesson Ferry Rd
Saint Louis, MO 63128
Phone (314) 849-5414

3915 Watson Rd
Ste 200
Saint Louis, MO 63109
Phone (314) 352-2711

3701 N Saint Peters Pkwy
Ste C1
Saint Peters, MO 63376
Phone (636) 720-0190

851 E 5th St
Ste 320
Washington, MO 63090
Phone (636) 239-1633

Organizations & group practices 3

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 3

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1851361133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78219",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631788219",
            "telephone_number": "314-989-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 7005B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-991-3668",
            "fax_number": "314-991-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTZMAN",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "000765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303848519",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.