Individual provider Active NPI

Thomas J Holubeck, MD

  • Pediatrics Physician
  • Cincinnati, OH
National Provider Identifier
1902866015
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35070908 Issued in OH
Practice address
5275 Winneste Ave
Cincinnati, OH 45232-1130
Phone
(513) 242-1033
Fax
(513) 242-1539
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 35070908 OH Primary

Addresses

Primary practice location

5275 Winneste Ave
Cincinnati, OH 45232-1130

Mailing address

5275 Winneste Ave
Cincinnati, OH 45232-1130
Phone (513) 242-1033

Other identifiers 1

IdentifierTypeStateIssuer
2004146MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20201102001340 OH Practitioner - Pediatric Medicine 5092954164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Cincinnati College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winton Hills Medical and Health CenterGroup PAC ID 6507881406, 9 clinicians

Practice addresses (Care Compare)

1019 Linn St
Cincinnati, OH 45203-1314
Phone (513) 233-7100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35070908OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winton Hills Medical & Health Center Current Accepting new patients
Winton Hills Medical & Health Center CurrentSince Jun 30, 2020 Accepting new patients

Locations

5275 Winneste Ave
Cincinnati, OH 45232
Phone (513) 242-1033

1740 Langdon Farm Rd
Cincinnati, OH 45237
Phone (513) 242-1033

1019 Linn St
Cincinnati, OH 45203
Phone (513) 233-7100

Interoperability endpoints

  • Direct secure messaging: thomas.holubeck.1@23272.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902866015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 WINNESTE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452321130",
            "telephone_number": "513-242-1033",
            "fax_number": "513-242-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 WINNESTE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452321130",
            "telephone_number": "513-242-1033",
            "fax_number": "513-242-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLUBECK",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35070908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2004146",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.