Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MALLORY FAITH REARDEN DO
NPI 1629727870
Anesthesiology in Saint Louis, MO

Active since March 23, 2022PECOS Enrolled
1402 S GRAND BLVD # M260, SAINT LOUIS, MO 63104(618) 780-9106 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mallory Faith Rearden Do NPPES

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

MALLORY FAITH REARDEN DO (NPI 1629727870) is an individual anesthesiology provider in Saint Louis, Missouri, licensed in Missouri (2026033117) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629727870
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameMALLORY FAITH REARDENCredential: DO
Location Address1402 S GRAND BLVD # M260Saint Louis, MO 63104-1004
Mailing Address5200 Autumnwinds DrSaint Louis, MO 63129-2462
Sole ProprietorNo
Enumeration DateMarch 23, 2022
Last NPPES UpdateAugust 24, 2026
NPPES CertifiedAugust 24, 2026
✔ NPI 1629727870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in MO · 2026033117
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1402 S GRAND BLVD # M260, Saint Louis, MO 63104

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallory Faith Rearden Do 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.

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.

Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
Otolaryngology
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104

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 Rearden's NPI number?

The NPI number for Mallory Rearden is 1629727870. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Mallory Rearden located?

Mallory Rearden practices at 1402 S Grand Blvd # M260, Saint Louis, MO 63104. The listed phone number is (618) 780-9106.

What is Mallory Rearden's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Mallory Rearden enrolled in Medicare?

Yes. Mallory Rearden is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mallory Rearden was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.