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ALISA MALUTINOK RD,LD
NPI 1881574259
Dietitian, Registered in Saint Louis, MO

Active since September 05, 2025
401 HOLLY HILLS AVE, SAINT LOUIS, MO 63111(314) 834-2273(314) 970-9136 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alisa Malutinok Rd,ld NPPES

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

ALISA MALUTINOK RD,LD (NPI 1881574259) is an individual dietitian, registered in Saint Louis, Missouri, licensed in Missouri (2022553) and active in the NPI registry since September 2025. She is a graduate of Other (1998).

NPPES Registry Identity

NPI1881574259
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameALISA MALUTINOKCredential: RD,LD
Location Address401 HOLLY HILLS AVESaint Louis, MO 63111-2410
Mailing Address401 Holly Hills AveSaint Louis, MO 63111-2410 · (314) 834-2273 · Fax (314) 970-9135
Phone(314) 834-2273
Fax(314) 970-9136
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 5, 2025
NPPES CertifiedSeptember 5, 2025
✔ NPI 1881574259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in MO · 2022553
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
401 HOLLY HILLS AVE, Saint Louis, MO 63111
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alisa Malutinok Rd,ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921593914
PECOS Enrollment IDI20251217002040

Medicare Billing Reassignment

Medicare enrollment records show Alisa Malutinok reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Care Health Centers
Same address
Federally Qualified Health Center (FQHC)
401 HOLLY HILLS AVE
Saint Louis, MO 63111
  • Reassigned Medicare billing, Missouri enrollment
  • 55 clinicians in this Medicare group
NPI 1508867508 (314) 481-1615

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. LEXI KATHLEEN WISCH PT, DPT
Physical Therapist
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
St. Louis City (314) 353-5190
DR. DANIEL RALPH BERG MD
Internal Medicine
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
St. Louis City (314) 353-5190
MRS. JINA LEE MCATEE MD
Pediatrics
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
St. Louis City (314) 353-5190
GWYN MAHONY HADEED D.O.
Family Medicine
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
St. Louis City (314) 353-5190
ARIEL MARIE JONES DC
Chiropractor
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
St. Louis City (314) 353-5190
SAVANNAH JOY WINNINGHAM LMSW
Social Worker (Clinical)
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
St. Louis City (314) 834-2273
MS. ASHNA MAHADEV MD
Student in an Organized Health Care Education/Training Program
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
St. Louis City (314) 353-5190
MARIE HARLA RD
Dietitian, Registered
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
St. Louis City (314) 353-5190

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 Alisa Malutinok's NPI number?

The NPI number for Alisa Malutinok is 1881574259. It was assigned to this individual provider in the NPPES registry on September 5, 2025.

Where is Alisa Malutinok located?

Alisa Malutinok practices at 401 Holly Hills Ave, Saint Louis, MO 63111. The listed phone number is (314) 834-2273.

What is Alisa Malutinok's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Alisa Malutinok enrolled in Medicare?

Yes. Alisa Malutinok is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alisa Malutinok's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alisa Malutinok reassigns Medicare benefits to Family Care Health Centers (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 Alisa Malutinok's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alisa Malutinok 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 2 other insurers list Alisa Malutinok 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 Alisa Malutinok was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.