Individual provider Active NPI

Rachel Holcomb, DO

  • Pediatrics Physician
  • Palos Heights, IL
National Provider Identifier
1831502269
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036143317 Issued in IL
Practice address
7110 W 127TH St Ste 130
Palos Heights, IL 60463-1579
Phone
(708) 923-6300
Fax
(708) 923-6303
NPI assigned
Jun 3, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036143317 IL Primary

Addresses

Primary practice location

7110 W 127TH St Ste 130
Palos Heights, IL 60463-1579

Mailing address

7110 W 127TH St Ste 130
Palos Heights, IL 60463-1579
Phone (708) 923-6300

Other practice location 1

86 W Underwood St
Suite 202
Orlando, FL 32806-1110
Phone (407) 649-6876

Other identifiers 1

IdentifierTypeStateIssuer
036143317MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address rholcomb279332@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036143317ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc Single Specialty Past Accepting new patients
George Skarpathiotis, M.D., S.C. Single Specialty PastSince Jan 2, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rholcomb279332@direct.myadvocateaurora.org

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1831502269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 W 127TH ST STE 130",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631579",
            "telephone_number": "708-923-6300",
            "fax_number": "708-923-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 W 127TH ST STE 130",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631579",
            "telephone_number": "708-923-6300",
            "fax_number": "708-923-6303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 W Underwood St",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061110",
            "country_code": "US",
            "telephone_number": "407-649-6876",
            "fax_number": "407-872-0544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "RACHEL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2022-07-21",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036143317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036143317",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7110 W 127th St Ste 130",
            "city": "Palos Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604631579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rholcomb279332@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7110 W 127th St Ste 130",
            "city": "Palos Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604631579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.