Jacqueline Schilling Holt, MD
Individual provider Active NPI Diagnostic Radiology Physician · Newark, DE
NPI 1104885813 · NPPES record last updated Dec 17, 2014
Key facts
- NPI
- 1104885813
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- C1-0004554 (DE)
- Practice address
- 4755 Ogletown Stanton Rd
Department of Radiology
Newark, DE 19718-2200 - Phone
- (302) 733-1806
- Fax
- (302) 733-1808
- NPI assigned
- Mar 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Temple University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Radiology Regional Center P a
Delaware Radiology Associates PA
Lenox Hill Radiology and Medical Imaging Associates PC
Practice addresses (Care Compare)
Lewes, DE 19958
Phone (239) 936-2316
24 Omega Dr
Newark, DE 19713-6020
Phone (302) 738-9100
40 Polly Drummond Hill Rd
BLDG 4
Newark, DE 19711-5703
Phone (585) 218-8002
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DE, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041210000290 | DE | Practitioner - Diagnostic Radiology | 4587621636 | Reassigns benefits to 7 organizations |
| I20201209000890 | MD | Practitioner - Diagnostic Radiology | 4587621636 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (12 of 13)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Valley Radiology Associates PLLC | Diagnostic Radiology | Current |
Accepting new patients |
| Lenox Hill Radiology & Medical Imaging Associates, PC | Diagnostic Radiology | Current |
Accepting new patients |
| Maryland Imaging Network PC | Diagnostic Radiology | Current |
Accepting new patients |
| Christiana Care Health Services Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Christiana Care Health Services Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Delaware Radiology Associates PA | Diagnostic Radiology | Current |
Accepting new patients |
| X-Ray Associates, LLC | Past | Accepting new patients | |
| Christiana Care Health Initiatives | Diagnostic Radiology | Past | Accepting new patients |
| Christiana Care Health Initiatives | Past | Accepting new patients | |
| Koniver Fiss Mansoory MD PA | Diagnostic Radiology | Past | Accepting new patients |
| X-Ray Associates P.a. | Past | Accepting new patients |
Locations
120 Sandhill Dr
Ste 2
Middletown, DE 19709
Phone (302) 449-5400
40 Polly Drummond Hill Rd
Bldg 4
Newark, DE 19711
Phone (302) 737-5990
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
24 Omega Dr
#J
Newark, DE 19713
Phone (302) 737-3571
1941 Limestone Rd
Ste 204
Wilmington, DE 19808
Phone (302) 633-3750
3401 Brandywine Pkwy
Ste 102
Wilmington, DE 19803
Phone (302) 533-2160
27443 Network Pl
Chicago, IL 60673
29493 Network Pl
Chicago, IL 60673
130 Hospital Rd
Ste LL100
Prnc Frederck, MD 20678
Phone (410) 535-4111
100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791
3510 Old Washington Rd
Ste 101
Waldorf, MD 20602
Phone (301) 638-2457
161 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (610) 361-1042
Networks
- Freedom Health HMO Network
Interoperability endpoints
- jacqueline.holt.1@13043.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | C1-0004554 | DE | Yes |
Addresses
Primary practice location
4755 Ogletown Stanton Rd
Department of Radiology
Newark, DE 19718-2200
Mailing address
4755 Ogletown Stanton Rd
Department of Radiology
Newark, DE 19718-2200
Phone (302) 733-1806
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300118250 | Other | RAILROAD MEDICARE # | |
| 0000821001 | Medicaid | DE |
Other names
- Jacqueline Napoletano
NPI Registry JSON
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418774400000",
"number": "1104885813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON RD",
"address_2": "DEPARTMENT OF RADIOLOGY",
"city": "NEWARK",
"state": "DE",
"postal_code": "197182200",
"telephone_number": "302-733-1806",
"fax_number": "302-733-1808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON RD",
"address_2": "DEPARTMENT OF RADIOLOGY",
"city": "NEWARK",
"state": "DE",
"postal_code": "197182200",
"telephone_number": "302-733-1806",
"fax_number": "302-733-1808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "JACQUELINE",
"middle_name": "SCHILLING",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-21",
"last_updated": "2014-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "DE",
"license": "C1-0004554",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE #",
"identifier": "300118250",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000821001",
"state": "DE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELINE",
"last_name": "NAPOLETANO",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newark, DE
- Lauren Holmes
- Noelle Holmes
- Phoebe Jeanette Holmes
- Richard Alan Holmes
- Veronica Holmes
- Connor Holthouse
- Dorothy Lorraine Holz
- Matthew Holzberg
- Aton Mordechai Holzer
- Nancy Katherine Homan
All providers in Newark, DE · Diagnostic Radiology Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.