DR. MALLORY BROOKE SMITH MD
NPI 1093133886
Pediatrics - Pediatric Critical Care Medicine in Saint Louis, MO
About Dr. Mallory Brooke Smith Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MALLORY BROOKE SMITH MD (NPI 1093133886) is an individual pediatric critical care medicine provider in Saint Louis, Missouri, licensed in Missouri (2022031700) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Mallory Brooke Smith Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mallory Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Louis, MO 63110
- Reassigned Medicare billing, Missouri enrollment
- 628 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
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 Mallory Smith's NPI number?
The NPI number for Mallory Smith is 1093133886. It was assigned to this individual provider in the NPPES registry on March 31, 2014.
Where is Mallory Smith located?
Mallory Smith practices at 1 Childrens Pl Div Ped Critical Care Med, Saint Louis, MO 63110. The listed phone number is (314) 454-2527.
What is Mallory Smith's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.
Is Mallory Smith enrolled in Medicare?
Yes. Mallory Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mallory Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Smith reassigns Medicare benefits to Washington University (Saint Louis, MO). 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 Mallory Smith'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 Mallory Smith was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Mallory Brooke Smith, MD · NPI 1093133886
Pediatric Critical Care Medicine physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since March 31, 2014.
## Identity
- **NPI:** 1093133886 (Entity type: Individual)
- **Enumerated:** March 31, 2014
- **Primary specialty:** Pediatrics - Pediatric Critical Care Medicine · taxonomy 2080P0203X
- **State license:** 2022031700 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 CHILDRENS PL, DIV PED CRITICAL CARE MED, Saint Louis, MO 63110-1002
- **Phone:** (314) 454-2527 · **Fax:** (314) 747-8880
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Washington University (NPI 1194765685, Saint Louis, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 17, 2025
- **Other identifiers:** Medicaid 200115877 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1093133886) · Data from the CMS NPPES public registry.