Keri Wallace, MD
Keri Wallace, MD is a Pediatrics Physician in Saint Louis, MO, registered under NPI 1467029140. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 1 CHILDRENS PL STE 2130, Saint Louis, MO 63110. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 2021019874 | MO | Pediatrics Physician primary |
| 2021019874 | MO | Neurology Physician |
| 2021019874 | MO | Neurology with Special Qualifications in… |
| 2021019874 | MO | Student in an Organized Health Care… |
This provider holds licence 2021019874 issued in MO. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Order And Referring Only - Pediatric Medicine
- PAC ID
- 7315342383
- Enrollment ID
- I20210830001385
Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Pediatric Medicine. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pediatrics covers
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. NUCC Health Care Provider Taxonomy, code 208000000X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | 2021019874 | MO | primary |
| 2084N0400X | Neurology Physician Neurology | 2021019874 | MO | |
| 2084N0402X | Neurology with Special Qualifications in Child Neurology Physician Neurology with Special Qualifications in Child Neurology | 2021019874 | MO | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 2021019874 | MO |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1467029140 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 9, 2021 |
| Last updated | Jul 29, 2025 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
1 CHILDRENS PL STE 2130 Saint Louis, MO 63110 (314) 454-6120 Fax (314) 454-4225 |
| Mailing address |
1 CHILDRENS PL STE 3S34 Saint Louis, MO 63110 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 6 | 7 | 0 | 2 | 9 | 1 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 3 | 7 | 0 | 2 | 9 | 1 | 8 |
Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.