HOLLY C. GILLIS MD – NPI #1609119015
Pediatrics

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

HOLLY GILLIS is a physician located in MINNEAPOLIS, MN. NPPES has assigned the NPI number 1609119015 to HOLLY GILLIS on April 03, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080P0203X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Critical Care Medicine

The NPI profile was last updated on Jul 01, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HOLLY GILLIS below.

NPI Profile for
HOLLY C. GILLIS

NPI Number
1609119015
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
HOLLY C. GILLIS
Credentials
MD
Primary location
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454-1450
Phone: (608) 335-2086 Fax:
3 Other location(s):
405 Butterfly Gardens Dr
Columbus, OH 43215-4985
Phone: (614) 722-4200
Fax: (614) 722-4203
700 Childrens Dr
Columbus, OH 43205-2664
Phone: (612) 365-2000
455 Executive Campus Dr
Westerville, OH 43082-8870
Phone: (614) 722-4200
Fax: (614) 722-4203
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Jul 01, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for HOLLY GILLIS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOH0112389
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0203X
- Pediatrics / Pediatric Critical Care Medicine (Primary)
MN 58934
207LP3000X
- Anesthesiology / Pediatric Anesthesiology
MN 58934
207LP2900X
- Anesthesiology / Pain Medicine
OH 35.130748
207L00000X
- Anesthesiology
OH 35.130748

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
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How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.