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

WENDOLYN M DISALVO M.D.
NPI 1871668798
Pediatrics in Saint Louis, MO

Active since November 24, 2006PECOS Enrolled
11133 DUNN RD, STREET, SAINT LOUIS, MO 63136(314) 653-5000 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Mar 15, 2023 (2 updates tracked since 2023).

About Wendolyn M Disalvo M.d. NPPES

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

WENDOLYN M DISALVO M.D. (NPI 1871668798) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (2006032134) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rolla.

NPPES Registry Identity

NPI1871668798
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameWENDOLYN M DISALVOCredential: M.D.
Location Address11133 DUNN RD, STREETSaint Louis, MO 63136-6119
Mailing Address75 Remit Dr, Lockbox 6810Chicago, IL 60675-6810 · (866) 916-5259
Sole ProprietorNo
Enumeration DateNovember 24, 2006
Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration
NPPES CertifiedMarch 15, 2023
✔ NPI 1871668798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · 2006032134
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 ListedEmergency MedicineTaxonomy 207P00000X · License 2003014836 (MO), 2006032134 (MO)
11133 DUNN RD, Saint Louis, MO 63136

Secondary Practice Location 1

Location 11000 W 10th StRolla, MO 65401-2905 · Phone (573) 364-9000

Other Identifiers 1

Medicaid202437901MO

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wendolyn M Disalvo M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Wendolyn Disalvo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Missouri enrollment
  • 741 clinicians in this Medicare group
Pediatrics
2927 S . KINGS HIGHWAY BLVD
Saint Louis, MO 63139
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
  • 76 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63136 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 20

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

Anesthesiologist Assistant
11133 DUNN RD
SAINT LOUIS, MO 63136
Radiology (Diagnostic Radiology)
11133 DUNN RD, DEPT RADIOLOGY
SAINT LOUIS, MO 63136
Internal Medicine (Critical Care Medicine)
11133 DUNN RD
SAINT LOUIS, MO 63136
Pathology (Anatomic Pathology)
11133 DUNN RD, DEPT. OF PATHOLOGY
SAINT LOUIS, MO 63136
Nurse Practitioner (Family)
11133 DUNN RD, SUITE 2335
SAINT LOUIS, MO 63136
Emergency Medicine
11133 DUNN RD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63136
Nurse Practitioner
11133 DUNN RD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63136
Psychiatric Unit
11133 DUNN RD
SAINT LOUIS, MO 63136

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 Wendolyn Disalvo's NPI number?

The NPI number for Wendolyn Disalvo is 1871668798. It was assigned to this individual provider in the NPPES registry on November 24, 2006.

Where is Wendolyn Disalvo located?

Wendolyn Disalvo practices at 11133 Dunn Rd Street, Saint Louis, MO 63136. The listed phone number is (314) 653-5000.

What is Wendolyn Disalvo's specialty?

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

Is Wendolyn Disalvo enrolled in Medicare?

Yes. Wendolyn Disalvo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Wendolyn Disalvo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wendolyn Disalvo reassigns Medicare benefits to 2 organizations: Ssm Health Care St. Louis (Bridgeton, MO) and Ssm Cardinal Glennon Childrens Hospital (Saint Louis, MO). Each 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 Wendolyn Disalvo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wendolyn Disalvo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Wendolyn Disalvo 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.

When was this NPI record last updated?

The NPPES record for Wendolyn Disalvo was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.