Individual provider Active NPI

Amanda M Hart, DPM

  • Foot & Ankle Surgery Podiatrist
  • Belleville, IL
National Provider Identifier
1114289121
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016.005647 Issued in IL
Practice address
2900 Frank Scott Pkwy W
Suite 900
Belleville, IL 62223-5000
Phone
(618) 277-5700
Fax
(618) 257-7049
NPI assigned
Jun 14, 2012
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Foot Surgeons of Southwest Illinois, LTD. 4 clinicians

Practice addresses (Care Compare)

2900 Frank Scott Pkwy W
Suite 900
Belleville, IL 62223-5000
Phone (618) 277-5700

Hospital & facility affiliations

  • Memorial Hospital Hospital, Chester, IL, CCN 141338
  • HSHS St Elizabeth'S Hospital Hospital, O Fallon, IL, CCN 140187
  • Sparta Community Hospital Hospital, Sparta, IL, CCN 141349
  • Memorial Hospital Hospital, Belleville, IL, CCN 140185

Merit-based Incentive Payment System (MIPS)

Final score
90.69 of 100Reported as individual
Quality
78.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue40
Removal of skin lesions1-10
Removal of nail tissue1319
Removal or shaving of skin growth599

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20151030002271 IL Practitioner - Podiatry 8426368606 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Foot Surgeons of Southwest Illinois, LTD. Foot & Ankle Surgery CurrentSince Jan 1, 2016 Accepting new patients
Family Eye Care of Ofallon PC Past Accepting new patients

Locations

2900 Frank Scott Pkwy W
Ste 900
Belleville, IL 62223
Phone (618) 277-5700

1900 State St
Chester, IL 62233
Phone (618) 826-2388

122 Veterans Pkwy
Columbia, IL 62236
Phone (618) 281-5000

852 Cambridge Blvd
Ste 200
O Fallon, IL 62269
Phone (618) 277-5700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIBADD
  • Direct secure messaging: amhart@afsobl-il.direct.office.nextgen.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FIBADD/Endpoint/FIBADD

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 016.005647 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

2900 Frank Scott Pkwy W
Suite 900
Belleville, IL 62223-5000

Mailing address

2900 Frank Scott Pkwy W
Suite 900
Belleville, IL 62223-5000
Phone (618) 277-5700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 7, 2015.

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1114289121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 FRANK SCOTT PKWY W",
            "address_2": "SUITE 900",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622235000",
            "telephone_number": "618-277-5700",
            "fax_number": "618-257-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 FRANK SCOTT PKWY W",
            "address_2": "SUITE 900",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622235000",
            "telephone_number": "618-277-5700",
            "fax_number": "618-257-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "AMANDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.005647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.