Individual provider Active NPI

Molly Frances Caldwell-McMillan, M.D.

  • Infectious Disease Physician
  • Bridgeton, MO
National Provider Identifier
1417070327
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
2011001623 Issued in MO
Practice address
12774 Boenker LN
Bridgeton, MO 63044-2436
Phone
(314) 291-9779
NPI assigned
Apr 6, 2007
Last updated
May 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301083500 MI
Infectious Disease Physician 207RI0200X 2011001623 MO Primary

Addresses

Primary practice location

12774 Boenker LN
Bridgeton, MO 63044-2436

Mailing address

10004 Kennerly Rd Ste 171B
Saint Louis, MO 63128-2176
Phone (314) 821-0900

Other practice location 1

10004 Kennerly Rd Ste 171B
Saint Louis, MO 63128-2176
Phone (314) 821-0900

Other names 1

  • Molly Frances Sarikonda Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Christian Hospital Northeast- Northwest

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20110601000820 MO Practitioner - Infectious DiseasePractitioner - Internal Medicine 9133306046 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Pennsylvania State University College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious Diseases PCGroup PAC ID 6305880956, 10 clinicians
New Liberty Hospital CorporationGroup PAC ID 9931166618, 135 clinicians

Practice addresses (Care Compare)

10004 Kennerly Rd
Suite 171B
Saint Louis, MO 63128-2176
Phone (314) 821-0900

2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Phone (816) 781-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
81.21 of 100Reported as group
Quality
69.99
Promoting interoperability
99
Improvement activities
40
Cost
68.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301083500MIMDInternal Medicine Physician
2011001623MOMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Liberty Hospital Coporation CurrentSince May 1, 2024 Accepting new patients
New Liberty Hospital Corporation Internal Medicine CurrentSince May 1, 2024 Accepting new patients
Northwest Infectious Disease Services LLC Infectious Disease CurrentSince Jun 1, 2011 Accepting new patients
T SQRD Medical Group, P.a. Infectious Disease CurrentSince Nov 4, 2023 Accepting new patients
New Liberty Hospital Corporation Current Accepting new patients
Infectious Diseases, PC Infectious Disease PastSince May 28, 2026 Accepting new patients

Locations

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

400 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-6402

12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360

12380 De Paul Dr
Bridgeton, MO 63044
Phone (314) 447-9700

12774 Boenker Ln
Bridgeton, MO 63044
Phone (314) 291-7997

305 S Platte Clay Way
Kearney, MO 64060
Phone (816) 628-4409

2521 Glenn Hendren Dr
Ste 410
Liberty, MO 64068
Phone (816) 415-3437

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000

3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330

10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522

Interoperability endpoints

  • Direct secure messaging: mcaldwellmcmillan35224@direct-ehr-ssmhc.com
  • Direct secure messaging: molly.caldwellmcmillanmd.p6@direct.nlhc.nextgenshare.com

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1417070327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 171B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282176",
            "telephone_number": "314-821-0900",
            "fax_number": "800-556-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12774 BOENKER LN",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442436",
            "telephone_number": "314-291-9779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10004 Kennerly Rd Ste 171B",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631282176",
            "country_code": "US",
            "telephone_number": "314-821-0900",
            "fax_number": "800-556-8932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDWELL-MCMILLAN",
        "first_name": "MOLLY",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301083500",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MO",
            "license": "2011001623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "endpointDescription": "EMR",
            "affiliationName": "Christian Hospital Northeast- Northwest",
            "address_1": "11133 Dunn Rd",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631366119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "SARIKONDA",
            "middle_name": "FRANCES",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bridgeton, MO

Sources for this page

Verify at the official NPI Registry.