Individual provider Active NPI

Kimball Sands Fuiks, MD

  • Neurological Surgery Physician
  • Brookfield, WI
National Provider Identifier
1932170362
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
32726 Issued in WI
Practice address
550 Forest CT
Brookfield, WI 53045-3628
Phone
(262) 784-4205
Fax
(262) 784-6549
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 14

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.

View all 14

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, PA, IL, OR, MO5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20071011000534 WI Practitioner - NeurosurgeryPractitioner - Neurology 0840211660 Reassigns benefits to 2 organizations
I20211119000265 PA Practitioner - Neurosurgery 0840211660 Reassigns benefits to 1 organization
I20211228001881 IL Practitioner - NeurosurgeryPractitioner - Psychiatry 0840211660 Reassigns benefits to 2 organizations
I20220614001882 OR Practitioner - Neurosurgery 0840211660 Reassigns benefits to 1 organization
I20220712001733 MO Practitioner - Neurosurgery 0840211660 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32726WIMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Clinics LLC CurrentSince May 24, 2022 Accepting new patients
RMH Pathologists, LTD Current Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Dec 1, 2016 Accepting new patients
Rockford Health Physicians CurrentSince Dec 13, 2021 Accepting new patients
Carle Health Care Incorporated CurrentSince Sep 9, 2022 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Legacy Clinics LLC Neurological Surgery CurrentSince May 24, 2022 Accepting new patients
Blue Ridge Medical Management Corpoartion Neurological Surgery CurrentSince Oct 1, 2022 Accepting new patients
Saint Luke'S Physician Group Inc CurrentSince Jun 24, 2022 Accepting new patients
Wisconsin Neurosurgery SC CurrentSince Sep 14, 2007 Accepting new patients
Wisconsin Neurosurgery SC Neurological Surgery CurrentSince Sep 6, 2000 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Nov 12, 2021 Accepting new patients
United Regional Health Care System Inc Current Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2350 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-2200

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

901 E 104th St
Kansas City, MO 64131
Phone (816) 502-7117

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

2800 N Vancouver Ave
Ste 130
Portland, OR 97227
Phone (503) 276-6110

1111 Franklin St
Ste 130
Johnstown, PA 15905
Phone (814) 534-5724

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

701 Med Tech Pkwy
Ste 300
Johnson City, TN 37604
Phone (423) 232-8301

17280 W North Ave
Ste 204
Brookfield, WI 53045
Phone (262) 784-4205

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

501 N 10th St
Manitowoc, WI 54220
Phone (920) 682-6376

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: kfuiks2048483@wm.providencedirect.org
  • Direct secure messaging: kfuiks73190@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • Direct secure messaging: kfuiksmd354914@carlehiedirect.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 32726 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

550 Forest CT
Brookfield, WI 53045-3628

Mailing address

550 Forest CT
Brookfield, WI 53045-3628
Phone (262) 784-4205

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
4581860001OtherWIMEDICARE DMERC PIN
31768900MedicaidWI
140007387OtherWIRAILROAD MEDICARE PIN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 24, 2025.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1932170362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 FOREST CT",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530453628",
            "telephone_number": "262-784-4205",
            "fax_number": "262-784-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 FOREST CT",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530453628",
            "telephone_number": "262-784-4205",
            "fax_number": "262-784-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUIKS",
        "first_name": "KIMBALL",
        "middle_name": "SANDS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WI",
            "license": "32726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC PIN",
            "identifier": "4581860001",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31768900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "140007387",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.