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AMBER DALE HARTMAN DO
NPI 1306468889
Pediatrics in Springfield, IL

Active since May 07, 2020PECOS Enrolled
400 N 9TH ST # 4A, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-4779 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2023, May 7, 2020 (2 updates tracked since 2020).

About Amber Dale Hartman Do NPPES

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

AMBER DALE HARTMAN DO (NPI 1306468889) is an individual pediatrics provider in Springfield, Illinois, licensed in Illinois (036164848) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Decatur.

NPPES Registry Identity

NPI1306468889
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameAMBER DALE HARTMANCredential: DO
Location Address400 N 9TH ST # 4ASpringfield, IL 62702-5310
Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-8000 · Fax (217) 545-2101
Phone(217) 545-8000
Fax(217) 545-4779
Sole ProprietorNo
Enumeration DateMay 7, 2020
Last NPPES UpdateJune 21, 20232 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
✔ NPI 1306468889 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 · 036164848
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 ListedPediatrics · Developmental - Behavioral PediatricsTaxonomy 2080P0006X · License 036164848 (IL)
400 N 9TH ST # 4A, Springfield, IL 62702
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Other Names 1

Former Name (1)Amber Dale Russo

Secondary Practice Location 1

Location 12 Memorial DrDecatur, IL 62526-3950 · Phone (217) 872-2943 · Fax (217) 876-1714

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amber Dale Hartman Do 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
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 20

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

JOHN PADANILAM
Pediatrics
400 N 9TH ST # 4A
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
FIYINFOLUWA PRISCILLA SOLUADE MD
Pediatrics
400 N 9TH ST # 4A
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. SASKIA D'SA MD
Pediatrics
400 N 9TH ST # 4A
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
CECELIA LAI MD
Pediatrics
400 N 9TH ST # 4A
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
FATIMAH GADELTAYEB MD
Pediatrics
400 N 9TH ST # 4A
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. MINAHIL ROSHAN MD
Pediatrics
400 N 9TH ST # 4A
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
SHOVANA GHIMIRE MD
Pediatrics
400 N 9TH ST # 4A
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. BLAKE ASHLEY GRAY MD
Pediatrics
400 N 9TH ST # 4A
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 Amber Hartman's NPI number?

The NPI number for Amber Hartman is 1306468889. It was assigned to this individual provider in the NPPES registry on May 7, 2020. The provider is also known as Amber Dale Russo.

Where is Amber Hartman located?

Amber Hartman practices at 400 N 9th St # 4A, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Amber Hartman's specialty?

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

Is Amber Hartman enrolled in Medicare?

Yes. Amber Hartman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amber Hartman was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.