DR. MEHER S MALLICK (M.D.) – Nephrology Physician, NPI 1093789034

DR. MEHER S MALLICK (M.D.) is a healthcare provider. based in Saint louis, Missouri. specializing in INTERNAL MEDICINE, NEPHROLOGY. They hold the professional credentials M.D.. They hold a License No. 2001009904 (MO). The NPI Number for DR. MEHER S MALLICK (M.D.) is 1093789034

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. MEHER S MALLICK (M.D.)
NPI
1093789034
Phone
(314) 685-8721
Address
1400 LeMay Ferry Rd
Enumeration Date
15 February 2006
Last Update Date
18 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182399500
Graduation Year
1982 (44 years ago)
PAC ID
7911950852
Group Practice PAC ID
2163459348
Professional Enrollment ID
I20050303000513
Address ID
IL622083419FA5003XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,186 INTERNAL MEDICINE in MO

Provider Addresses for DR. MEHER S MALLICK (M.D.)

  • 1400 LeMay Ferry Rd

    Saint Louis, MO 631252408

    Phone: (314) 685-8721

    Type: Location

  • PO BOX 840132

    KANSAS CITY, MO 641840132

    Phone: (314) 843-3449

    Fax: (314) 843-8762

    Type: Mailing

  • 10004 KENNERLY RD STE 361B

    SAINT LOUIS, MO 631282141

    Phone: (314) 843-3449

    Fax: (314) 843-8762

    Type: Location

  • 10004, Kennerly Road, Sappington, Saint Louis County, Missouri, 63128, United States

    STE 315A

    SAINT LOUIS, MO 631282141

    Phone: (314) 843-3449

    Fax: (314) 843-8762

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $657.

Total Amount is formed as General ($657) + Research ($0) + Ownership ($0) = $657.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($211).

Total Amount

$657

General + Research + Ownership

Payments

15

Total payment records

General Amount

$657

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-02-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050303000513INephrologyILTBD
I20100225000946INephrologyMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes294207$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes25560$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)10930$0
90962Dialysis services, 1 physician visit per month (20 years or older)9029$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6151$0
View full utilization report →

Insurance plans in this area (ZIP 63125)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163459348View full group profile
NameSpecialtyState
Hospitalist, Emergency Medicine, Internal Medicine, HospitalistIL
Internal Medicine, NephrologyMO
Nephrology, Internal MedicineIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

How do I look up DR. MEHER S MALLICK (M.D.) by NPI?
Use NPI 1093789034 when you need to reference DR. MEHER S MALLICK (M.D.) in forms, claims, or directories.
Is DR. MEHER S MALLICK (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. MEHER S MALLICK (M.D.) list a primary specialty?
If you are matching referrals, note Nephrology Physician for DR. MEHER S MALLICK (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MEHER S MALLICK (M.D.)?
The page summarizes Saint Louis, Missouri for DR. MEHER S MALLICK (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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