MEHER S. MALLICK M.D. – NPI #1093789034
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

MEHER MALLICK is a physician located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1093789034 to MEHER MALLICK on February 15, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on May 29, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEHER MALLICK below.

NPI Profile for
MEHER S. MALLICK

NPI Number
1093789034
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MEHER S. MALLICK
Credentials
M.D.
Primary location
10004 KENNERLY RD STE 361B
SAINT LOUIS, MO 63128-2141
Phone: (314) 843-3449 Fax: (314) 843-8762
2 Other location(s):
1300 N Market St
Sparta, IL 62286-1048
Phone: (618) 443-4138
Fax: (618) 443-3327
1400 LeMay Ferry Rd
Saint Louis, MO 63125-2408
Phone: (314) 685-8721
Mailing address
PO BOX 840132
KANSAS CITY, MO 64184-0132
Phone: (314) 843-3449 Fax: (314) 843-8762
Sole Proprietor
No
Updated
Certification Date
May 29, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MEHER MALLICK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICARE PTAN000013440
otherRAILROAD MEDICARE390007770
medicaidIL6317901
medicaidIL036099093
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 IL 036.099093
174400000X
- Specialist		 MO 2001009904

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1300 N MARKET ST,
SPARTA, IL 77025-1669

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MEHER MALLICK is affiliated with the following medical group(s):
  • HOSPITAL
    • JERSEY COMMUNITY HOSPITAL
      400 MAPLE SUMMIT ROAD
      JERSEYVILLE, IL 62052
    • MERCY HOSPITAL SOUTH
      10010 KENNERLY ROAD
      SAINT LOUIS, MO 63128
    • MERCY HOSPITAL ST LOUIS
      615 NEW BALLAS ROAD
      SAINT LOUIS, MO 63141
    • RED BUD REGIONAL HOSPITAL
      325 SPRING STREET
      RED BUD, IL 62278
    • SPARTA COMMUNITY HOSPITAL
      818 E BROADWAY
      SPARTA, IL 62286
  • DIALYSIS FACILITY
    • DAVITA JERSEYVILLE DIALYSIS
      917 SOUTH STATE
      JERSEYVILLE, IL 62052
    • DAVITA LAMPLIGHTER DIALYSIS
      12654 LAMPLIGHTER SQUARE SHPG CTR
      SAINT LOUIS, MO 63128
    • DAVITA RED BUD DIALYSIS
      1500 E MARKET ST LOT 4
      RED BUD, IL 62278
    • DAVITA SOUTH COUNTY DIALYSIS
      4145 Union Road
      SAINT LOUIS, MO 63129

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