THOMAS J HOLUBECK MD
NPI 1902866015
Pediatrics in Cincinnati, OH

Active since March 23, 2006PECOS Enrolled
5275 WINNESTE AVE, CINCINNATI, OH 45232(513) 242-1033(513) 242-1539 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Thomas J Holubeck Md NPPES

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

THOMAS J HOLUBECK MD (NPI 1902866015) is an individual pediatrics provider in Cincinnati, Ohio, licensed in Ohio (35070908) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902866015
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameTHOMAS J HOLUBECKCredential: MD
Location Address5275 WINNESTE AVECincinnati, OH 45232-1130
Mailing Address5275 Winneste AveCincinnati, OH 45232-1130 · (513) 242-1033 · Fax (513) 242-1539
Fax(513) 242-1539
Sole ProprietorNo
Enumeration DateMarch 23, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1902866015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35070908
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5275 WINNESTE AVE, Cincinnati, OH 45232

Other Identifiers 1

Medicaid2004146OH

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas J Holubeck Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Thomas Holubeck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
5275 WINNESTE AVE
Cincinnati, OH 45232
  • Reassigned Medicare billing, Ohio enrollment
  • 23 clinicians in this Medicare group

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 45232 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
5275 WINNESTE AVE
CINCINNATI, OH 45232
Dietitian, Registered
5275 WINNESTE AVE
CINCINNATI, OH 45232
Pediatrics
5275 WINNESTE AVE
CINCINNATI, OH 45232
Clinic/Center (Federally Qualified Health Center (FQHC))
5275 WINNESTE AVE
CINCINNATI, OH 45232
Pediatrics
5275 WINNESTE AVE
CINCINNATI, OH 45232
Pharmacy (Community/Retail Pharmacy)
5275 WINNESTE AVE
CINCINNATI, OH 45232
Nurse Practitioner (Family)
5275 WINNESTE AVE
CINCINNATI, OH 45232
Nurse Practitioner (Family)
5275 WINNESTE AVE
CINCINNATI, OH 45232

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 Thomas Holubeck's NPI number?

The NPI number for Thomas Holubeck is 1902866015. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Thomas Holubeck located?

Thomas Holubeck practices at 5275 Winneste Ave, Cincinnati, OH 45232. The listed phone number is (513) 242-1033.

What is Thomas Holubeck's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Thomas Holubeck enrolled in Medicare?

Yes. Thomas Holubeck is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thomas Holubeck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Holubeck reassigns Medicare benefits to Winton Hills Medical & Health Center (Cincinnati, OH). 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 Thomas Holubeck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Holubeck accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Thomas Holubeck as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Holubeck was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.