Individual provider Active NPI

Katherine Zibilich Holcomb, M.D.

  • Dermatology Physician
  • Metairie, LA
National Provider Identifier
1861668808
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD205281 Issued in LA
Practice address
3100 Galleria Dr Ste 203
Metairie, LA 70001-2196
Phone
(504) 226-7873
Fax
(504) 290-3376
NPI assigned
Apr 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 01297 NC
Procedural Dermatology Physician 207NS0135X MD.205281 LA
Dermatology Physician 207N00000X MD205281 LA Primary

Addresses

Primary practice location

3100 Galleria Dr Ste 203
Metairie, LA 70001-2196

Mailing address

145 Robert E Lee Blvd Ste 302
Naval Hospital
New Orleans, LA 70124-2593
Phone (504) 288-2381

Other identifiers 1

IdentifierTypeStateIssuer
1070084MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 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

Enrollment IDStateProvider typePAC IDDetails
I20130727000007 LA Practitioner - Dermatology 6103965702 Reassigns benefits to 1 organization
I20260108001682 MS Practitioner - Dermatology 6103965702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tulane University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pure Dermatology LLCGroup PAC ID 5395141089, 3 clinicians

Practice addresses (Care Compare)

3100 Galleria Dr
Suite 203
Metairie, LA 70001-2196
Phone (504) 226-7873

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions174
Removal or shaving of skin growth1-10
Skin biopsy98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD205281LAMDDermatology Physician
01297NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Dermatology LLC Dermatology CurrentSince Aug 1, 2021 Accepting new patients
Mara Haseltine MD LLC Dermatology CurrentSince Aug 1, 2021 Accepting new patients
Marisa D Stringer Consulting LLC Dermatology CurrentSince Dec 1, 2025 Accepting new patients
Mary L. Puissegur Lupo Dermatology PastSince Jun 22, 2020 Accepting new patients
Benzer Ms 1 LLC PastSince Dec 1, 2025 Accepting new patients

Locations

3100 Galleria Dr
Ste 203
Metairie, LA 70001
Phone (504) 226-7873

3100 Galleria Dr
Ste 301
Metairie, LA 70001

1720A Medical Park Dr
Ste 160
Biloxi, MS 39532
Phone (228) 207-7716

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1861668808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 ROBERT E LEE BLVD STE 302",
            "address_2": "NAVAL HOSPITAL",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701242593",
            "telephone_number": "504-288-2381",
            "fax_number": "504-288-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 GALLERIA DR STE 203",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012196",
            "telephone_number": "504-226-7873",
            "fax_number": "504-290-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "KATHERINE",
        "middle_name": "ZIBILICH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "01297",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "LA",
            "license": "MD.205281",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "MD205281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1070084",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.