Matthew Moll, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

31922 Issued in KS

Practice address

720 W Central Ave
El Dorado, KS 67042

Phone

(316) 322-4500

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

85.98 of 100Reported as group

Quality

74.5

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Carepoint Emergency Medicine Kansas LLC

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1477096097

  KS

  Medicare reassignment NPD
• Newman Memorial County Hospital

  • Critical Access Hospital
  • Emporia, KS
  • NPI 1245643576

  KS

  Medicare reassignment NPD
• Air Capital Emergency Services, LLC

  • Emergency Medicine Physician
  • El Dorado, KS
  • NPI 1609342385
  NPD (past) Authorized official
• Emergency Services, PA

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1629028881
  NPD (past)
• Newman Memorial County Hospital

  • Emergency Medicine Physician
  • Emporia, KS
  • NPI 1457379273
  NPD (past)
• Runway Emergency Physicians LLC

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1063751352
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1831209261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 N TERHUNE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672307243",
            "telephone_number": "316-371-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W CENTRAL AVE",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "67042",
            "telephone_number": "316-322-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3311 E Murdock St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672083054",
            "country_code": "US",
            "telephone_number": "316-689-9107",
            "fax_number": "316-689-9354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3311 E Murdock St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672083054",
            "country_code": "US",
            "telephone_number": "316-689-9107",
            "fax_number": "316-689-9354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLL",
        "first_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "31922",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "31922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Melrose
• Jessica Leigh Michel, D.P.T.
• Mid-America Anesthesia Professionals LLC
• Mid-America Orthopedics LLC
• Jacob Milbradt, PHARMD
• Robert A Moore, OD
• Nicole Morton, LMSW
• Kristy R Motter, APRN
• Jennifer Marie Nelson, LMSW
• Thanh Nguyen

• All providers in El Dorado, KS
• Internal Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.