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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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 (60 clinicians)
Delaware Radiology Associates PA (61 clinicians)
Lenox Hill Radiology and Medical Imaging Associates PC (245 clinicians)

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 IDStateProvider typePAC IDDetails
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)

OrganizationSpecialtyStatusNew patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology Current
since Jun 25, 2019
Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology Current
since May 21, 2019
Accepting new patients
Maryland Imaging Network PC Diagnostic Radiology Current
since Dec 1, 2020
Accepting new patients
Christiana Care Health Services Inc Diagnostic Radiology Current
since Jan 10, 2011
Accepting new patients
Christiana Care Health Services Inc Diagnostic Radiology Current
since Dec 31, 2012
Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Delaware Radiology Associates PA Diagnostic Radiology Current
since Dec 1, 2018
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

  • Direct secure messaging: jacqueline.holt.1@13043.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
300118250OtherRAILROAD MEDICARE #
0000821001MedicaidDE

Other names

  • Jacqueline Napoletano Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 17, 2014.

{
    "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

All providers in Newark, DE · Diagnostic Radiology Physician in Delaware

Sources for this page

Verify at the official NPI Registry.