Stephen Holtsford, M.D.

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

License

036091535 Issued in IL

Practice address

210 S 5TH St Ste 10
Saint Charles, IL 60174-2700

Phone

(630) 940-2468

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Addiction MedicineAlso: Internal Medicine

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of Dupage Department of HealthGroup PAC ID 4981695103, 30 clinicians

Lighthouse RecoveryGroup PAC ID 6305287343, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• County of Dupage Department of Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wheaton, IL
  • NPI 1134110786
  Medicare reassignment Care Compare group NPD
• Lighthouse Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • St Charles, IL
  • NPI 1700246139
  Medicare reassignment Care Compare group NPD
• Stephen Holtsford Enterprises, LLC.

  • Addiction Medicine (Preventive Medicine) Physician
  • St Charles, IL
  • NPI 1851119572
  Medicare reassignment NPD Authorized official
• County of Dupage Department of Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Addison, IL
  • NPI 1093971442
  NPD
• County of Dupage Department of Health

  • Health Service Clinic/Center
  • Wheaton, IL
  • NPI 1932892999
  NPD
• Tri County Anesthesia S.C.

  • Anesthesiology Physician
  • Hopedale, IL
  • NPI 1568548592
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1801979463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9030",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600909030",
            "telephone_number": "847-495-1617",
            "fax_number": "847-537-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S 5TH ST STE 10",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601742700",
            "telephone_number": "630-940-2468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Randall Rd",
            "address_2": "Emergency Dept",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601344200",
            "country_code": "US",
            "telephone_number": "630-208-4009",
            "fax_number": "630-208-0942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLTSFORD",
        "first_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "IL",
            "license": "036091535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "451530938",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930061957",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036091535 5",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Luciana Holgado-Cocjin, MD
• Trude Holli, LMFT
• Josie Anne Holly
• Nancy N Holman, DC
• Jeanine Marie Holtsford, M.A. CCC SLP
• Amy Hom, DVM DACVO
• Teresa L. Homan, MD
• John Landers Honcharuk, ATC
• Honey Bee Distributors, P. C.
• Madiseida Hood, LCSW

• Addiction Medicine (Preventive Medicine) Physician in Saint Charles, IL
• Providers in Saint Charles, IL by specialty
• Addiction Medicine (Preventive Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.