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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ANDREW FULTZ
NPI 1174225866
Internal Medicine - Hematology & Oncology in Springfield, IL

Active since March 20, 2023PECOS Enrolled
315 W CARPENTER ST # B, SPRINGFIELD, IL 62702(217) 545-8000 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Andrew Fultz NPPES

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

ANDREW FULTZ (NPI 1174225866) is an individual hematology & oncology provider in Springfield, Illinois, licensed in Illinois (036.180741) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174225866
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameANDREW FULTZ
Location Address315 W CARPENTER ST # BSpringfield, IL 62702-4901
Mailing AddressPo Box 19678Springfield, IL 62794-9678 · (217) 545-8000
Phone(217) 545-8000
Sole ProprietorNo
Enumeration DateMarch 20, 2023
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1174225866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in IL · 036.180741
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

315 W CARPENTER ST # B, Springfield, IL 62702
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Fultz 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 3

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

DR. SUJITHA SREE KETINENI M.D.
Internal Medicine (Hematology & Oncology)
315 W CARPENTER ST # B
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
NOOR KHALID
Internal Medicine (Hematology & Oncology)
315 W CARPENTER ST # B
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
OMAR AL TAMIMI
Internal Medicine (Hematology & Oncology)
315 W CARPENTER ST # B
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Fultz's NPI number?

The NPI number for Andrew Fultz is 1174225866. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Andrew Fultz located?

Andrew Fultz practices at 315 W Carpenter St # B, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Andrew Fultz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Andrew Fultz enrolled in Medicare?

Yes. Andrew Fultz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Fultz was last updated on July 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.