ANGELA M HOLBROOK (M.D.) – Emergency Medicine Physician, NPI 1790731545

ANGELA M HOLBROOK (M.D.) is a healthcare provider. based in Saint louis, Missouri. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 103133 (MO). The NPI Number for ANGELA M HOLBROOK (M.D.) is 1790731545

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA M HOLBROOK (M.D.)
NPI
1790731545
Phone
(314) 989-0300
Address
1836 LACKLAND HILL PKWY
Enumeration Date
25 May 2006
Last Update Date
15 January 2009

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6184637311
Graduation Year
1989 (37 years ago)
PAC ID
9335185875
Group Practice PAC ID
5395643209
Professional Enrollment ID
I20050706000985
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ANGELA M HOLBROOK (M.D.)

  • 1836, Lackland Hill Parkway, Ascalon, Maryland Heights, Saint Louis County, Missouri, 63146, United States

    ATTN: CREDENTIALING

    SAINT LOUIS, MO 631463572

    Phone: (314) 989-0300

    Fax: (314) 810-1399

    Type: Mailing

  • 605, East Booneslick Road, Warrenton, Warren County, Missouri, 63383, United States

    WARRENTON, MO 633832127

    Phone: (636) 456-0188

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-07-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050706000985IInternal MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making7977$0
99284Emergency department visit with moderate level of medical decision making1919$0
View full utilization report →

Insurance plans in this area (ZIP 63146)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395643209View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeIN
Emergency MedicineMA
-PA
-TN
Emergency Medicine, Pediatric MedicineIL
Emergency Medicine, Pediatric MedicineTN
-MO
Emergency Medicine, Family PracticeFL
Emergency MedicineMO
-CT

Reviews

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Frequently asked questions

Can I verify ANGELA M HOLBROOK (M.D.) with an NPI only?
You can start verification with NPI 1790731545 for ANGELA M HOLBROOK (M.D.), then check state licensing separately.
Is ANGELA M HOLBROOK (M.D.) still practicing?
ANGELA M HOLBROOK (M.D.) is currently listed as active in the public NPI registry.
What is ANGELA M HOLBROOK (M.D.) best known for clinically?
Directory data describes ANGELA M HOLBROOK (M.D.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect ANGELA M HOLBROOK (M.D.) on a map?
Expect Saint Louis, Missouri as a primary anchor for ANGELA M HOLBROOK (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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