Active NPI
Amanda M Hart, DPM
- Foot & Ankle Surgery Podiatrist
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016.005647
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Belleville, IL
- NPI 1740653591
Foot & Ankle Surgery, IL
-
- Optometrist
- O Fallon, IL
- NPI 1801926340
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
Hospital
-
- General Acute Care Hospital
- O Fallon, IL
- NPI 1629057302
Hospital
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.
Practice addresses (Care Compare)
2900 Frank Scott Pkwy W
Suite 900
Belleville, IL 62223-5000
Phone (618) 277-5700
Hospital & facility affiliations
- Memorial Hospital
- HSHS St Elizabeth'S Hospital
- Sparta Community Hospital
- Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.69 of 100
- Quality
- 78.33
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 40 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1319 |
| Removal or shaving of skin growth | 599 |
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151030002271 | IL | Practitioner - Podiatry | 8426368606 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Foot Surgeons of Southwest Illinois, LTD. | Foot & Ankle Surgery | Current | 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
- https://fhir4.healow.com/fhir/r4/FIBADD
- amhart@afsobl-il.direct.office.nextgen.com
- https://fhir4.healow.com/fhir/r4/FIBADD/Endpoint/FIBADD
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016.005647 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.