DR. KERI RENHUI WALLACE MD
NPI 1467029140
Pediatrics in Saint Louis, MO

Q: What is Keri Wallace's NPI number?

The NPI number for Keri Wallace is 1467029140. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Q: What is Keri Wallace's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Keri Wallace was last updated on July 29, 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 June 09, 2021PECOS Enrolled

1 CHILDRENS PL STE 2130, SAINT LOUIS, MO 63110(314) 454-6120(314) 454-4225 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Keri Renhui Wallace Md NPPES

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

DR. KERI RENHUI WALLACE MD (NPI 1467029140) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (2021019874) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467029140

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. KERI RENHUI WALLACECredential: MD

Location Address1 CHILDRENS PL STE 2130Saint Louis, MO 63110-1002

Mailing Address1 Childrens Pl Ste 3s34Saint Louis, MO 63110-1002

Phone(314) 454-6120

Fax(314) 454-4225

Sole ProprietorNo

Enumeration DateJune 9, 2021

Last NPPES UpdateJuly 29, 2025

NPPES CertifiedJuly 29, 2025

✔ NPI 1467029140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MO · 2021019874

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 2021019874 (MO)

Also ListedPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyTaxonomy 2084N0402X · License 2021019874 (MO)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 2021019874 (MO)

1 CHILDRENS PL STE 2130, Saint Louis, MO 63110

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Keri Renhui Wallace Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

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.

Other Providers at the Same Location NPPES

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

DR. MONICA LIM MD

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

1 CHILDRENS PL STE 2130
SAINT LOUIS, MO 63110

St. Louis City (314) 454-6120

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 Keri Wallace's NPI number?

The NPI number for Keri Wallace is 1467029140. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Where is Keri Wallace located?

Keri Wallace practices at 1 Childrens Pl Ste 2130, Saint Louis, MO 63110. The listed phone number is (314) 454-6120.

What is Keri Wallace's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Keri Wallace enrolled in Medicare?

Yes. Keri Wallace is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keri Wallace was last updated on July 29, 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.