AI-XUAN L HOLTERMAN M.D.
NPI 1649228032
Surgery - Pediatric Surgery in Chicago, IL

Q: What is the provider's specialty?

The provider's specialty is Surgery with taxonomy code 2086S0120X and a focus in Pediatric Surgery.

Active since May 05, 2006PECOS Enrolled

1725 W HARRISON ST, SUITE 818, CHICAGO, IL 60612(312) 942-5397 Get Directions Write a Review

NPPES record last updated: January 18, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ai-xuan L Holterman M.d. NPPES

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

AI-XUAN L HOLTERMAN M.D. (NPI 1649228032) is an individual pediatric surgery provider in Chicago, Illinois, licensed in Indiana (01057253) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649228032

Entity TypeIndividualFemale

Primary Taxonomy2086S0120X

Provider Legal NameAI-XUAN L HOLTERMANCredential: M.D.

Location Address1725 W HARRISON ST, SUITE 818Chicago, IL 60612-3841

Mailing Address3926 New Vision Dr, Bldg HFort Wayne, IN 46845-1712 · (260) 266-8213 · Fax (260) 458-5658

Phone(312) 942-5397

Sole ProprietorNo

Enumeration DateMay 5, 2006

Last NPPES UpdateJanuary 18, 2017

✔ NPI 1649228032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

License✔ Licensed in IN · 01057253

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

1725 W HARRISON ST, Chicago, IL 60612

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Other Identifiers 2

Medicare ID-Type UnspecifiedL91510IL

Medicare UPINF16996IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ai-xuan L Holterman M.d. 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.