NPIMap

Individual provider Active NPI

Kathleen Holsaeter, DO

  • Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1972065084
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DOS-2722-0 Issued in HI
Practice address
6655 S Cimarron Rd Ste 100
Las Vegas, NV 89113-2181
Phone
(702) 853-3561
NPI assigned
Apr 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 011189 AZ
Surgical Critical Care Physician 2086S0102X 011189 AZ
Surgery Physician 208600000X DOS-2722-0 HI Primary
Surgical Critical Care Physician 2086S0102X DOS-2722-0 HI

Addresses

Primary practice location

6655 S Cimarron Rd Ste 100
Las Vegas, NV 89113-2181

Mailing address

1494 Kalaniiki St
Honolulu, HI 96821-1216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251202002843 HI Practitioner - General Surgery 5092040733 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samuel Mahelona Memorial HospitalGroup PAC ID 1759271216, shared by 12 NPIs, 46 clinicians
Cobre Valley Regional Medical CenterGroup PAC ID 0648181693, shared by 9 NPIs, 40 clinicians
Straub Clinic and HospitalGroup PAC ID 6305759754, 420 clinicians

Practice addresses (Care Compare)

4643 Waimea Canyon Dr
Ste. B
Waimea, HI 96796
Phone (808) 338-8311

5990 S Hospital Dr
Globe, AZ 85501-9462
Phone (928) 425-8151

5994 S Hospital Dr
Globe, AZ 85501-9462
Phone (928) 425-7108

888 S King St
Honolulu, HI 96813-3097
Phone (808) 522-4000

98 -1079 Moanalua Rd
Aiea, HI 96701-4713
Phone (808) 486-6000

PO Box
Suite 337
Waimea, HI 96796

Hospital & facility affiliations

  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
  • Straub Clinic and Hospital Hospital, Honolulu, HI, CCN 120022
  • Cobre Valley Regional Medical Center Hospital, Globe, AZ, CCN 031314

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
011189AZMDSurgery Physician
DOS-2722-0HIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Straub Clinic & Hospital CurrentSince Oct 13, 2025 Accepting new patients
Kapiolani Medical Specialists CurrentSince Oct 15, 2025 Accepting new patients
Straub Clinic & Hospital CurrentSince Oct 13, 2025 Accepting new patients
Pali Momi Medical Center CurrentSince Oct 15, 2025 Accepting new patients
Pali Momi Medical Center CurrentSince Oct 15, 2025 Accepting new patients

Locations

98-1079 Moanalua Rd
Ste 680
Aiea, HI 96701
Phone (808) 485-4250

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1972065084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1494 KALANIIKI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968211216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 S CIMARRON RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132181",
            "telephone_number": "702-853-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSAETER",
        "first_name": "KATHLEEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "011189",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "AZ",
            "license": "011189",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "HI",
            "license": "DOS-2722-0",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "HI",
            "license": "DOS-2722-0",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.