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DR. SUSAN G. BOLTON M.D.
NPI 1336156884
Pediatrics in Champaign, IL

Active since August 01, 2006PECOS Enrolled
1801 W WINDSOR RD, CHAMPAIGN, IL 61822(217) 366-1257(217) 366-6110 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 5, 2022, Sep 17, 2020 (2 updates tracked since 2020).

About Dr. Susan G. Bolton M.d. NPPES

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

DR. SUSAN G. BOLTON M.D. (NPI 1336156884) is an individual pediatrics provider in Champaign, Illinois, licensed in Illinois (036-082604) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336156884
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SUSAN G. BOLTONCredential: M.D.
Location Address1801 W WINDSOR RDChampaign, IL 61822-6217
Mailing Address101 W University AveChampaign, IL 61820-3909 · (217) 366-1326 · Fax (217) 366-6106
Phone(217) 366-1257
Fax(217) 366-6110
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateJanuary 5, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2022
✔ NPI 1336156884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036-082604
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.
1801 W WINDSOR RD, Champaign, IL 61822
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Other Identifiers 2

Other279500IL · Medicare Group
Medicaid036082604 1IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan G. Bolton 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61822 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.

DR. IRSHAD AHMED SIDDIQUI M.D.
Family Medicine
1801 W WINDSOR RD
CHAMPAIGN, IL 61822
Champaign County (217) 366-8130
DANIEL TODD ROSENBLAT
Internal Medicine
1801 W WINDSOR RD
CHAMPAIGN, IL 61822
Champaign County (217) 366-5434
DR. YASSER ALI HAIDER M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1801 W WINDSOR RD
CHAMPAIGN, IL 61822
Champaign County (217) 366-1372
DR. ANDREW J. BARTLETT D.O.
Internal Medicine
1801 W WINDSOR RD
CHAMPAIGN, IL 61822
Champaign County (217) 366-5434
MRS. SHEREKA D COLLINS APRN FNP-BC
Nurse Practitioner (Family)
1801 W WINDSOR RD
CHAMPAIGN, IL 61822
Champaign County (217) 366-8130
SURINA KUMAR
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1801 W WINDSOR RD
CHAMPAIGN, IL 61822
Champaign County (217) 366-1372
LAURA ANN JACOB R.D.
Dietitian, Registered
1801 W WINDSOR RD
CHAMPAIGN, IL 61822
Champaign County (217) 366-8144
EMILY HOLBEN
Nurse Practitioner (Family)
1801 W WINDSOR RD
CHAMPAIGN, IL 61822
Champaign County (217) 366-4407

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 Susan Bolton's NPI number?

The NPI number for Susan Bolton is 1336156884. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Susan Bolton located?

Susan Bolton practices at 1801 W Windsor Rd, Champaign, IL 61822. The listed phone number is (217) 366-1257.

What is Susan Bolton's specialty?

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

Is Susan Bolton enrolled in Medicare?

Yes. Susan Bolton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Bolton was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.