Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMANDA LEIGH STOVALL M.D.
NPI 1043605447
Pediatrics in Indianapolis, IN

Q: What is Amanda Stovall's NPI number?

The NPI number for Amanda Stovall is 1043605447. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Q: What is Amanda Stovall's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Stovall was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 02, 2015PECOS Enrolled

705 RILEY HOSPITAL DR, ROOM 5867, INDIANAPOLIS, IN 46202(317) 944-4034 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2026, Aug 4, 2021 (2 updates tracked since 2021).

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About Amanda Leigh Stovall M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA LEIGH STOVALL M.D. (NPI 1043605447) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Illinois (036.157682) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043605447

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameAMANDA LEIGH STOVALLCredential: M.D.

Location Address705 RILEY HOSPITAL DR, ROOM 5867Indianapolis, IN 46202-5109

Mailing Address8600 N. Rte. 91, Ste. 200Peoria, IL 61615 · (309) 692-1030 · Fax (309) 691-3241

Phone(317) 944-4034

Sole ProprietorYes

Enumeration DateApril 2, 2015

Last NPPES UpdateOctober 12, 20262 updates tracked since enumeration

NPPES CertifiedOctober 7, 2026

✔ NPI 1043605447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036.157682

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License APPLIED FOR (IN)

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Leigh Stovall M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Stovall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Osf Multi-Specialty Group

197 mi

Internal Medicine

8600 N STATE ROUTE 91
Peoria, IL 61615

Reassigned Medicare billing, Illinois enrollment
2,944 clinicians in this Medicare group

NPI 1922445527 (309) 683-5050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)