Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043605447 Individual Practitioner Female Practitioner

Dr. Amanda Leigh Stovall , MD

Pediatrics • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Dr. Amanda Stovall, MD is a registered healthcare professional specializing in Pediatrics in Peoria, IL. Practice services are available at 5208 N WEAVERRIDGE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5208 N Weaverridge Blvd

Peoria, IL 616158984

Telephone 5024182991

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.3 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
103 Specialists

Practicing in Peoria, IL (3277 Statewide)

Telehealth Adoption Rate
1.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-21
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036.157682

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License IN APPLIED FOR

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

705 Riley Hospital Dr, Room 5867

Indianapolis, IN 462025109

Phone: 3179444034

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location January 21, 2025

Registered at 5208 N WEAVERRIDGE BLVD, PEORIA, IL 616158984 (Tel: 5024182991)

📍
Updated Business Mailing Address January 21, 2025

Registered at 5208 N WEAVERRIDGE BLVD, PEORIA, IL 616158984 (Tel: 5024182991)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2025

Student in an Organized Health Care Education/Training Program (License #APPLIED FOR in IN)

📍
Updated Practice Location August 04, 2021

Registered at 9128 N LINDBERGH DR, PEORIA, IL 616151422 (Tel: 2175287541)

📍
Updated Business Mailing Address August 04, 2021

Registered at PO BOX 19248, SPRINGFIELD, IL 627949248 (Tel: 2175287541)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2021

Pediatrics (License #036.157682 in IL)

NPI Profile Active July 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 20, 2015

Registered at 705 RILEY HOSPITAL DR, ROOM 5867, INDIANAPOLIS, IN 462025109 (Tel: 3179444034)

📍
Updated Business Mailing Address July 20, 2015

Registered at 705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 462025109 (Tel: 3179444034)

👤
Provider Name / Credentials Updated July 20, 2015

Recorded as AMANDA STOVALL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2015

Student in an Organized Health Care Education/Training Program (License #APPLIED FOR in IN)

🟢
Initial NPI Registration & Enumeration April 02, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043605447
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2015
Last Update: January 21, 2025
Sole Proprietor: Yes

Mailing Address

5208 N Weaverridge Blvd

Peoria, IL 616158984

Phone: 5024182991

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.