ANDREA M HOLTHAUS MD
NPI 1528031473
Internal Medicine in Saint Louis, MO

Q: What is Andrea Holthaus's NPI number?

The NPI number for Andrea Holthaus is 1528031473. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Q: What is Andrea Holthaus's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Holthaus was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 10, 2006PECOS Enrolled

3009 N BALLAS RD STE 383C, SAINT LOUIS, MO 63131(314) 996-4545 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 22, 2021, Feb 9, 2021, Jan 27, 2021 (3 updates tracked since 2021).

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About Andrea M Holthaus Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA M HOLTHAUS MD (NPI 1528031473) is an individual internal medicine provider in Saint Louis, Missouri, licensed in Missouri (2004011870) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in St Peters.

NPPES Registry Identity

NPI1528031473

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameANDREA M HOLTHAUSCredential: MD

Location Address3009 N BALLAS RD STE 383CSaint Louis, MO 63131-2324

Mailing Address3009 N Ballas Rd Ste 383cSaint Louis, MO 63131-2324 · (314) 996-4545

Phone(314) 996-4545

Sole ProprietorNo

Enumeration DateFebruary 10, 2006

Last NPPES UpdateJune 22, 20213 updates tracked since enumeration

NPPES CertifiedJune 21, 2021

✔ NPI 1528031473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MO · 2004011870

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License 2004011870 (MO)

Also ListedHospitalistTaxonomy 208M00000X · License 2004011870 (MO)

3009 N BALLAS RD STE 383C, Saint Louis, MO 63131

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Secondary Practice Location 1

Location 110 Hospital DrSt Peters, MO 63376-1659 · Phone (314) 317-0600 · Fax (314) 317-0606

Other Identifiers 2

Medicaid1528031473IL

Medicaid209226109MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea M Holthaus Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Andrea Holthaus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeastern Physician Services PC

386 mi

Hospitalist

990 OAK RIDGE TPKE
Oak Ridge, TN 37830

Reassigned Medicare billing, Missouri enrollment
193 clinicians in this Medicare group

NPI 1083835441 (865) 481-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63131 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEI FLORENSARI MARTIN MD

Internal Medicine