DR. MEHER S MALLICK M.D.
NPI 1093789034
Internal Medicine - Nephrology in Saint Louis, MO

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
10004 KENNERLY RD STE 361B, SAINT LOUIS, MO 63128(314) 843-3449(314) 843-8762 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 29, 2026, Mar 29, 2023, Feb 18, 2020 (3 updates tracked since 2020).

About Dr. Meher S Mallick M.d. NPPES

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

DR. MEHER S MALLICK M.D. (NPI 1093789034) is an individual nephrology provider in Saint Louis, Missouri, licensed in Missouri (2001009904) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Jersey Community Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093789034
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. MEHER S MALLICKCredential: M.D.
Location Address10004 KENNERLY RD STE 361BSaint Louis, MO 63128-2141
Mailing AddressPo Box 840132Kansas City, MO 64184-0132 · (314) 843-3449 · Fax (314) 843-8762
Fax(314) 843-8762
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateFebruary 15, 2006
Last NPPES UpdateMay 29, 20263 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
NPI 1093789034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in MO · 2001009904 Licensed in IL · 036.099093
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedSpecialistTaxonomy 174400000X · License 2001009904 (MO)
10004 KENNERLY RD STE 361B, Saint Louis, MO 63128

Secondary Practice Locations 2

Location 11300 N Market StSparta, IL 62286-1048 · Phone (618) 443-4138 · Fax (618) 443-3327
Location 21400 LeMay Ferry RdSaint Louis, MO 63125-2408 · Phone (314) 685-8721

Other Identifiers 4

Medicaid036099093IL
Other390007770Railroad Medicare
Other000013440Medicare Ptan
Medicaid6317901IL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Meher S Mallick M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911950852
PECOS Enrollment IDI20050303000513, I20100225000946
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
215 services151 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
92 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
74 services28 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
39 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jersey Community Hospital

Acute Care Hospitals · Jerseyville, IL
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140059
Location400 Maple Summit RoadJerseyville, IL 62052 · Jersey County
Emergency services

Touchette Regional Hospital Inc

Acute Care Hospitals · Centreville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number140077
Location5900 Bond AvenueCentreville, IL 62207 · St. Clair County
Emergency services

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Red Bud Regional Hospital

Critical Access Hospitals · Red Bud, IL
OwnershipProprietary
CMS Certification Number141348
Location325 Spring StreetRed Bud, IL 62278 · Randolph County
Emergency services

Sparta Community Hospital

Critical Access Hospitals · Sparta, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141349
Location818 E BroadwaySparta, IL 62286 · Randolph County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims1,080 services$0.29 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier11 claims11 services$17.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Internal Medicine (Nephrology)
10004 KENNERLY RD STE 361B
SAINT LOUIS, MO 63128
Internal Medicine (Nephrology)
10004 KENNERLY RD STE 361B
SAINT LOUIS, MO 63128
Internal Medicine (Nephrology)
10004 KENNERLY RD STE 361B
SAINT LOUIS, MO 63128
Internal Medicine (Nephrology)
10004 KENNERLY RD STE 361B
SAINT LOUIS, MO 63128

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 Meher Mallick's NPI number?

The NPI number for Meher Mallick is 1093789034. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Meher Mallick located?

Meher Mallick practices at 10004 Kennerly Rd Ste 361B, Saint Louis, MO 63128. The listed phone number is (314) 843-3449.

What is Meher Mallick's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Meher Mallick enrolled in Medicare?

Yes. Meher Mallick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Meher Mallick accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Meher Mallick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Meher Mallick affiliated with any hospitals?

According to CMS data, Meher Mallick is affiliated with Jersey Community Hospital, Touchette Regional Hospital Inc, Memorial Hospital, Red Bud Regional Hospital and Sparta Community Hospital.

When was this NPI record last updated?

The NPPES record for Meher Mallick was last updated on May 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.