JONATHAN A. HOLT DO
NPI 1720128259
Internal Medicine in Highland Park, IL
About Jonathan A. Holt Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN A. HOLT DO (NPI 1720128259) is an individual internal medicine provider in Highland Park, Illinois, licensed in Illinois (036.162121) and active in the NPI registry since February 2007. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jonathan A. Holt Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2023 through January 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HIGHLAND PARK, IL 60035
HIGHLAND PARK, IL 60035
HIGHLAND PARK, IL 60035
HIGHLAND PARK, IL 60035
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jonathan Holt's NPI number?
The NPI number for Jonathan Holt is 1720128259. It was assigned to this individual provider in the NPPES registry on February 7, 2007.
Where is Jonathan Holt located?
Jonathan Holt practices at 1893 Sheridan Rd, Highland Park, IL 60035. The listed phone number is (650) 450-8102.
What is Jonathan Holt's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jonathan Holt enrolled in Medicare?
No. Jonathan Holt has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Jonathan Holt was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jonathan A. Holt, DO · NPI 1720128259
Internal Medicine physician in Highland Park, Illinois. Individual provider, active in the CMS NPPES registry since February 7, 2007.
## Identity
- **NPI:** 1720128259 (Entity type: Individual)
- **Enumerated:** February 7, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 036.162121 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1893 SHERIDAN RD, Highland Park, IL 60035-2628
- **Phone:** (650) 450-8102
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** February 6, 2023
- **Other identifiers:** Medicaid 00AX89800 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1720128259) · Data from the CMS NPPES public registry.