Active NPI
John J Holtzman, DPM
- Foot & Ankle Surgery Podiatrist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 000765
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303848519 | Medicaid | MO |
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
Enrollment records 1
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
Practice addresses (Care Compare)
500 W Pine St
Farmington, MO 63640-1426
Phone (573) 756-8986
Hospital & facility affiliations
- Mercy Hospital St Louis
- SSM Health Rehabilitation Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.29 of 100
- Promoting interoperability
- 79
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 15 |
| Removal of skin lesions | 63 |
| Removal of nail tissue | 20 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000765 | MO | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Step Foot & Ankle Centers, Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Next Step Foot and Ankle Centers, Inc | Foot & Ankle Surgery | Current | 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.
-
- Podiatrist
- Saint Louis, MO
- NPI 1518938919
Foot & Ankle Surgery
-
- Orthopaedic Surgery Physician
- Saint Louis, MO
- NPI 1144372491
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
Inpatient rehabilitation facility
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.