Individual provider Active NPI

Donna C Hamburg, MD

  • Pediatrics Physician
  • Phoenix, AZ
National Provider Identifier
1689601965
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
21436 Issued in AZ
Practice address
300 W Clarendon Ave
375
Phoenix, AZ 85013-3420
Phone
(602) 277-4161
Fax
(602) 274-3394
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 21436 AZ Primary
Neonatal-Perinatal Medicine Physician 2080N0001X 21436 AZ

Addresses

Primary practice location

300 W Clarendon Ave
375
Phoenix, AZ 85013-3420

Mailing address

300 W Clarendon Ave
375
Phoenix, AZ 85013-3420
Phone (602) 277-4161

Other identifiers 1

IdentifierTypeStateIssuer
136748MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180725003890 WI Practitioner - Pediatric Medicine 7911144043 Reassigns benefits to 1 organization
I20181224000003 MN Practitioner - Pediatric Medicine 7911144043 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21436AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Wausau Hospital, Inc. CurrentSince Jun 21, 2018 Accepting new patients
Childrens Health Care Pediatrics Current Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
Childrens Health Care CurrentSince Dec 17, 2018 Accepting new patients
Childrens Health Care CurrentSince Dec 17, 2018 Accepting new patients
Aspirus Wausau Hospital Inc CurrentSince Jun 21, 2018 Accepting new patients
Banner del E Webb Medical Center Past Accepting new patients
Obstetrix Medical Group of Phoenix PC Neonatal-Perinatal Medicine Past Accepting new patients
Arizona OB GYN Affiliates PC Past Accepting new patients
Neonatology Associates, LTD Pediatrics Past Accepting new patients
Banner Estrella Medical Center Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000

5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691

347 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

Organizations & group practices 11

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1689601965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE",
            "address_2": "375",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133420",
            "telephone_number": "602-277-4161",
            "fax_number": "602-274-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE",
            "address_2": "375",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133420",
            "telephone_number": "602-277-4161",
            "fax_number": "602-274-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBURG",
        "first_name": "DONNA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "21436",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "AZ",
            "license": "21436",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136748",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.