Individual provider

Michelle Kallis, M.D.

Pediatric Surgery Physician Medicare enrolled

Michelle Kallis, M.D. is a Pediatric Surgery Physician in Saint Louis, MO, registered under NPI 1629464045.

Getting there

The practice address on file is 1 CHILDRENS PL, 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.

1 CHILDRENS PL, Saint Louis, MO 63110 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
25MA12648700 NJ Pediatric Surgery Physician
2023020139 MO Pediatric Surgery Physician primary

Licences are recorded in 2 states: NJ, MO. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - General Surgery
PAC ID
0840799029
Enrollment ID
I20250815000642

Medicare enrolment is recorded as approved under the provider type Practitioner - General Surgery. 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.

Licensed in 2 states

This provider holds licences in 2 states: Missouri and New Jersey. The practice address on file is in Saint Louis, MO, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

MO Missouri practice address
Licence
2023020139
Specialty
Pediatric Surgery Physician
Verify with the MO board →
NJ New Jersey
Licence
25MA12648700
Specialty
Pediatric Surgery Physician
Verify with the NJ board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Pediatric Surgery covers

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. NUCC Health Care Provider Taxonomy, code 2086S0120X
Allopathic & Osteopathic Physicians Surgery Pediatric Surgery

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2086S0120X Pediatric Surgery Physician Pediatric Surgery 25MA12648700 NJ
2086S0120X Pediatric Surgery Physician Pediatric Surgery 2023020139 MO primary

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.

NPI1629464045 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 13, 2015
Last updatedSep 18, 2025
StatusActive
Sole proprietorNo
GenderFemale
CredentialM.D.
Practice address 1 CHILDRENS PL
Saint Louis, MO 63110
(314) 454-6000
This record was updated on Sep 18, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1629464045 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
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 6 2 9 4 6 4 0 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 4 9 8 6 8 0 8

Sum = 75 · next multiple of 10 = 80 · check digit = 5 · actual last digit = 5

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.

Common questions

What is NPI number 1629464045?
NPI 1629464045 is the National Provider Identifier assigned to Michelle Kallis, M.D. in Saint Louis, MO. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pediatric Surgery cover?
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
How do I contact Michelle Kallis, M.D.?
The phone number on file with NPPES is (314) 454-6000, last updated Sep 18, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Michelle Kallis, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1629464045 a valid number?
Yes. 1629464045 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.