DR. SAMANTHA WALLIS ELIZABETH KNIGHT MD
NPI 1104347533
Surgery - Pediatric Surgery in Springfield, IL

Q: What is Samantha Knight's NPI number?

The NPI number for Samantha Knight is 1104347533. It was assigned to this individual provider in the NPPES registry on July 6, 2017.

Q: What is Samantha Knight's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Knight was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 06, 2017PECOS Enrolled

400 N 9TH ST, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-6041 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2018, Jul 6, 2017 (2 updates tracked since 2017).

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About Dr. Samantha Wallis Elizabeth Knight Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMANTHA WALLIS ELIZABETH KNIGHT MD (NPI 1104347533) is an individual pediatric surgery provider in Springfield, Illinois, licensed in Illinois (036.173770) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104347533

Entity TypeIndividualFemale

Primary Taxonomy2086S0120X

Provider Legal NameDR. SAMANTHA WALLIS ELIZABETH KNIGHTCredential: MD

Location Address400 N 9TH STSpringfield, IL 62702-5310

Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-8000 · Fax (844) 470-2486

Phone(217) 545-8000

Fax(217) 545-6041

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 6, 2017

Last NPPES UpdateOctober 27, 20252 updates tracked since enumeration

NPPES CertifiedOctober 27, 2025

✔ NPI 1104347533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

License✔ Licensed in IL · 036.173770

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Also ListedSurgeryTaxonomy 208600000X · License 125071023 (IL)

400 N 9TH ST, Springfield, IL 62702

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Secondary Practice Locations 2

Location 1701 N 1st St Ste D308Springfield, IL 62702-3757 · Phone (217) 545-4401

Location 2800 N 1st StSpringfield, IL 62702-3719 · Phone (217) 545-4401

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samantha Wallis Elizabeth Knight Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214207976

PECOS Enrollment IDI20251104001578

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Knight reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Siu Physicians & Surgeons, Inc

0.5 mi

Endocrinology, Diabetes & Metabolism

201 E MADISON ST STE 328
Springfield, IL 62702

Reassigned Medicare billing, Illinois enrollment
645 clinicians in this Medicare group

NPI 1558385989 (217) 545-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAITLYN M WALTERS MSN, WHNP-BC

Nurse Practitioner (Women's Health)

400 N 9TH ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

JESSICA N MISTRETTA DO

Pediatrics

400 N 9TH ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

AHMED G. MAMI M.D.

Surgery (Pediatric Surgery)

400 N 9TH ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

ESHAN MICHAEL SAMUEL M.D.

Pediatrics (Pediatric Gastroenterology)

400 N 9TH ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

KERBY SCANLAN APRN

Nurse Practitioner

400 N 9TH ST, 2ND FLOOR, CLINIC 2A
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

SUSAN PAPPAS

Registered Nurse (Lactation Consultant)

400 N 9TH ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

MAYA HINES

Obstetrics & Gynecology

400 N 9TH ST
SPRINGFIELD, IL 62702

Sangamon County (217) 454-6498

JENNIFER INNESS LCSW

Social Worker (Clinical)

400 N 9TH ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Knight's NPI number?

The NPI number for Samantha Knight is 1104347533. It was assigned to this individual provider in the NPPES registry on July 6, 2017.

Where is Samantha Knight located?

Samantha Knight practices at 400 N 9th St, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Samantha Knight's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Samantha Knight enrolled in Medicare?

Yes. Samantha Knight is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Knight's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Knight reassigns Medicare benefits to Siu Physicians & Surgeons, Inc (Springfield, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Knight's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samantha Knight was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.