ROXANE HOLT (MD) – Maternal & Fetal Medicine Physician, NPI 1790988905

ROXANE HOLT (MD) is a healthcare provider. based in Chicago, Illinois. specializing in Maternal & Fetal Medicine Physician. They hold the professional credentials MD. They hold a License No. 036.140688 (IL). The NPI Number for ROXANE HOLT (MD) is 1790988905

Main info

Female
Name
ROXANE HOLT (MD)
NPI
1790988905
Phone
(630) 469-9200
Address
1860 PAYSPHERE CIR
Enumeration Date
6 June 2007
Last Update Date
8 August 2023

Contacts

Secure Messaging
rholt208601@dulyhealthandcare.direct-ci.com
Secure Messaging
rholt208601@direct.edward.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

Provider Addresses for ROXANE HOLT (MD)

  • 1860 PAYSPHERE CIR

    CHICAGO, IL 606744363

    Phone: (630) 469-9200

    Type: Mailing

  • 133 E BRUSH HILL RD STE 400

    ELMHURST, IL 601265662

    Phone: (630) 432-6340

    Type: Location

  • 1890 SILVER CROSS BLVD STE 310

    NEW LENOX, IL 604519623

    Phone: (630) 545-3612

    Fax: (630) 348-3339

    Type: Location

  • PO BOX 713260

    CHICAGO, IL 606771260

    Phone: (630) 469-9200

    Type: Mailing

  • 430 PENNSYLVANIA AVE STE 340

    GLEN ELLYN, IL 601374464

    Phone: (630) 545-3612

    Fax: (630) 348-3339

    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: 2016-07-12

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
I20160712002878IObstetrics/GynecologyILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60674)

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Reviews

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Frequently asked questions

How do payers reference ROXANE HOLT (MD)?
For ROXANE HOLT (MD), use NPI 1790988905 as the unique 10-digit identifier.
Would ROXANE HOLT (MD) appear as active to a payer?
You can treat ROXANE HOLT (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to ROXANE HOLT (MD)?
ROXANE HOLT (MD)'s specialty line reads Maternal & Fetal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is ROXANE HOLT (MD) registered?
Use Chicago, Illinois as the headline location for ROXANE HOLT (MD) here.
When was this NPI issued?
Enumeration for ROXANE HOLT (MD) is noted as June 6, 2007 where the registry provides it.

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