Individual provider Active NPI

Kimberly Anne Molik, MD

  • Pediatric Surgery Physician
  • Springfield, IL
National Provider Identifier
1164422622
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
036136401 Issued in IL
Practice address
800 E Carpenter St
Springfield, IL 62702-5324
Phone
(217) 757-6535
Fax
(217) 757-6536
NPI assigned
Jul 27, 2005
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036136401 IL
Pediatric Surgery Physician 2086S0120X 036136401 IL Primary

Addresses

Primary practice location

800 E Carpenter St
Springfield, IL 62702-5324

Mailing address

800 E Carpenter St
Springfield, IL 62702-5324
Phone (217) 757-6535

Other identifiers 1

IdentifierTypeStateIssuer
200330000AMedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KIMBERLY.MOLIK@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050713000466 KS Practitioner - General SurgeryPractitioner - Pediatric Medicine 5395771109 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036136401ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Physicians Medical Specialties LLC CurrentSince Dec 1, 2017 Accepting new patients
Wesley Pathology Consultants PA Current Accepting new patients
Wichita Surgical Specialists PA Surgery PastSince Jan 1, 1995 Accepting new patients
Wesley Medical Center LLC Past Accepting new patients

Locations

2600 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 260-1690

3243 E Murdock St
Ste 500
Wichita, KS 67208
Phone (316) 788-7628

3243 E Murdock St
Ste Lvl-G
Wichita, KS 67208
Phone (316) 962-3100

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

Interoperability endpoints

  • Direct secure messaging: kimberly.molik@hca3.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1164422622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E CARPENTER ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025324",
            "telephone_number": "217-757-6535",
            "fax_number": "217-757-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CARPENTER ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025324",
            "telephone_number": "217-757-6535",
            "fax_number": "217-757-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLIK",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-27",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036136401",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "IL",
            "license": "036136401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200330000A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KIMBERLY.MOLIK@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "800 E Carpenter St",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627025324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.