Individual provider Active NPI

Katherine Marie Holzem, MD

  • Vascular Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1861912529
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
2022038986 Issued in MO
Practice address
915 N Grand Blvd
Saint Louis, MO 63106-1621
Phone
(314) 652-4100
NPI assigned
Jun 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2022038986 MO
Vascular Surgery Physician 2086S0129X 2022038986 MO Primary

Addresses

Primary practice location

915 N Grand Blvd
Saint Louis, MO 63106-1621

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 273-7373

Other practice location 1

1020 N Mason Rd
Div Surg Vascular, Ste 225
Saint Louis, MO 63141-6666
Phone (314) 273-7373

Other identifiers 1

IdentifierTypeStateIssuer
200062938MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221021000271 MO Practitioner - Vascular Surgery 7911373626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022038986MOMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Sep 30, 2022 Accepting new patients
Washington University CurrentSince Sep 30, 2022 Accepting new patients
Barnes Jewish Hospital Past Accepting new patients

Locations

1050 W 10th St
Ste 500
Rolla, MO 65401
Phone (573) 308-1301

660 S Euclid Ave
#8109
Saint Louis, MO 63110
Phone (314) 362-7841

915 N Grand Blvd
Saint Louis, MO 63106
Phone (314) 289-6434

660 S Euclid Ave
Saint Louis, MO 63110

4921 Parkview Pl
Saint Louis, MO 63110
Phone (314) 747-4850

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

1020 N Mason Rd
Ste 225
Saint Louis, MO 63141
Phone (314) 747-4769

1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-1700

Interoperability endpoints

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

NPI Registry JSON

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1861912529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-273-7373",
            "fax_number": "888-840-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631061621",
            "telephone_number": "314-652-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 N Mason Rd",
            "address_2": "Div Surg Vascular, Ste 225",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631416666",
            "country_code": "US",
            "telephone_number": "314-273-7373",
            "fax_number": "888-840-6225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLZEM",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2022038986",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "2022038986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200062938",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1020 N Mason Rd",
            "address_2": "Div Surg Vascular, Ste 225",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631416666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.