Individual provider Active NPI

John Patrick Holden, M.D.

  • Obstetrics & Gynecology Physician
  • Rockford, IL
National Provider Identifier
1992856892
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036086824 Issued in IL
Practice address
1221 E State St
Suite 9
Rockford, IL 61104-2231
Phone
(815) 972-1000
Fax
(815) 972-1086
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036-086824 IL
Obstetrics & Gynecology Physician 207V00000X 036086824 IL Primary

Addresses

Primary practice location

1221 E State St
Suite 9
Rockford, IL 61104-2231

Mailing address

1221 E State St
Suite 9
Rockford, IL 61104-2231
Phone (815) 972-1000

Other identifiers 1

IdentifierTypeStateIssuer
036086824MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20130204000461 IL Practitioner - Obstetrics/Gynecology 9032363783 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.51 of 100Reported as group
Quality
83.2
Promoting interoperability
77
Improvement activities
40
Cost
71.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-086824ILMDSpecialist
036086824ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedishamerican Hospital CurrentSince Oct 1, 2019 Accepting new patients
Obhg Illinois SC Obstetrics & Gynecology CurrentSince Apr 1, 2025 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Oct 17, 2012 Accepting new patients
Swedishamerican Hospital CurrentSince Oct 1, 2019 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Board of Trustees of the University of Illinois CurrentSince Oct 17, 2012 Accepting new patients
Swedishamerican Hospital Current Accepting new patients

Locations

405 W Jackson St
Carbondale, IL 62901

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

1221 E State St
Ste 9
Rockford, IL 61104
Phone (815) 972-1000

1221 E State St
Rockford, IL 61104
Phone (815) 972-1000

6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

2780 McFarland Rd
Rockford, IL 61107
Phone (815) 637-0000

1511 N Blackhawk Blvd
Rockton, IL 61072
Phone (815) 395-5879

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

Interoperability endpoints

  • Direct secure messaging: jholden907971@direct.uwhealth.org

Organizations & group practices 7

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1992856892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 E STATE ST",
            "address_2": "SUITE 9",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042231",
            "telephone_number": "815-972-1000",
            "fax_number": "815-972-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 E STATE ST",
            "address_2": "SUITE 9",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042231",
            "telephone_number": "815-972-1000",
            "fax_number": "815-972-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDEN",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-086824",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036086824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036086824",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.