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ROXANE HOLT MD
NPI 1790988905
Obstetrics & Gynecology - Maternal & Fetal Medicine in New Lenox, IL

Active since June 06, 2007PECOS EnrolledAccepts Medicare Assignment
1890 SILVER CROSS BLVD STE 310, NEW LENOX, IL 60451(630) 545-3612(630) 348-3339 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 8, 2023, May 25, 2021, Jun 29, 2020 and 2 more (5 updates tracked since 2016).

About Roxane Holt Md NPPES

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

ROXANE HOLT MD (NPI 1790988905) is an individual maternal & fetal medicine provider in New Lenox, Illinois, licensed in Illinois (036.140688) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1790988905
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameROXANE HOLTCredential: MD
Location Address1890 SILVER CROSS BLVD STE 310New Lenox, IL 60451-9623
Mailing AddressPo Box 713260Chicago, IL 60677-1260 · (630) 469-9200
Phone(630) 545-3612
Fax(630) 348-3339
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 6, 2007
Last NPPES UpdateAugust 8, 20235 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
✔ NPI 1790988905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in IL · 036.140688
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
1890 SILVER CROSS BLVD STE 310, New Lenox, IL 60451
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Other Identifiers 1

Medicaid194732704TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roxane Holt Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991879470
PECOS Enrollment IDI20160712002878
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 Roxane Holt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dupage Medical Group Ltd
20 mi
Multi-Specialty
1100 W 31ST ST, STE 300
Downers Grove, IL 60515
  • Reassigned Medicare billing, Illinois enrollment
  • 1,061 clinicians in this Medicare group
NPI 1801833983 (630) 469-9200

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 60451 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Roxane Holt's NPI number?

The NPI number for Roxane Holt is 1790988905. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Where is Roxane Holt located?

Roxane Holt practices at 1890 Silver Cross Blvd Ste 310, New Lenox, IL 60451. The listed phone number is (630) 545-3612.

What is Roxane Holt's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Roxane Holt enrolled in Medicare?

Yes. Roxane Holt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Roxane Holt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roxane Holt reassigns Medicare benefits to Dupage Medical Group Ltd (Downers Grove, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roxane Holt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Roxane Holt was last updated on August 8, 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.