DR. MALLORY BROOKE SMITH MD
NPI 1093133886
Pediatrics - Pediatric Critical Care Medicine in Saint Louis, MO
NPI Status: Active since March 31, 2014
Contact Information
1 CHILDRENS PL
DIV PED CRITICAL CARE MED
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 454-2527
Fax: (314) 747-8880
- Individual
- Female
- Pediatrics
- Pediatric Critical Care Medicine
- Accepts Insurance
- PECOS Enrolled
About MALLORY SMITH
This page provides the complete NPI Profile along with additional information for Mallory Smith, a pediatrician established in Saint Louis, Missouri with a medical specialization in Pediatrics, focusing in pediatric critical care medicine . The healthcare provider is registered in the NPI registry with number 1093133886 assigned on March 2014. The practitioner's primary taxonomy code is 2080P0203X with license number 2022031700 (MO). The provider is registered as an individual and her NPI record was last updated April 2025.
- NPI
- 1093133886
- Provider Name
- DR. MALLORY BROOKE SMITH MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1 CHILDRENS PL DIV PED CRITICAL CARE MED SAINT LOUIS, MO 63110
- Location Phone
- (314) 454-2527
- Location Fax
- (314) 747-8880
- Mailing Address
- PO BOX 7412011 CHICAGO, IL 60674
- Mailing Phone
- (314) 454-2527
- Mailing Fax
- (314) 747-8880
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-31-2014
- Last Update Date
- 04-17-2025
- Code Navigator
A pediatrician like Mallory Smith is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Critical Care Medicine
- Taxonomy Code
- 2080P0203X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 2022031700
- License State
- MO
- Taxonomy Description
- A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 2022031700 (MO) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
- Bronze S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
- Silver 5 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Wellpoint Essential Bronze 4000 HSA ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs) - HMO
- Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Bronze POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Catastrophic 9200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold POS 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Gold POS 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Gold POS 700 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver POS 2500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Silver POS 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200115877 | MEDICAID (05) | MO |
Medicare Participation & PECOS Enrollment Status
Mallory Smith is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 9 | 3 | 1 | 3 | 3 | 8 | 8 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 18 | 3 | 2 | 3 | 6 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 8 + 3 + 2 + 3 + 6 + 8 + 1 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1093133886 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1962462911 | DR. MARIA ISABEL PEREZ- CANDAL MD Individual | Pediatrics | 1 CHILDRENS PL SAINT LOUIS, MO 63110 (314) 454-2076 |
| 1184679797 | MR. DAVID R HAWSE RPH Individual | Pharmacist | 1 CHILDRENS PL SAINT LOUIS, MO 63110 (314) 454-6123 |
| 1205881679 | MRS. MELISSA JEAN EPPS RPA Individual | Pharmacist | 1 CHILDRENS PL ST LOUIS CHILDREN OUT PATIENT PHARMACY SAINT LOUIS, MO 63110 (314) 454-6123 |
| 1548203771 | MRS. MARIE LYNN HERLING RPH Individual | Pharmacist | 1 CHILDRENS PL SAINT LOUIS, MO 63110 (314) 454-6123 |
| 1831115153 | DR. ISABELLA I MUKHERJI MD Individual | Anesthesiology | 1 CHILDRENS PL SAINT LOUIS, MO 63110 (314) 454-6215 |
| 1659397974 | DR. VICTOR D PEGADO MD Individual | Ophthalmology | 1 CHILDRENS PL SAINT LOUIS, MO 63110 (314) 454-6026 |
| 1104842327 | DR. SORAYA NOURI-MOGHADDAM MD Individual | Pediatrics (Pediatric Cardiology) | 1 CHILDRENS PL SUITE 5S30 SAINT LOUIS, MO 63110 (314) 454-6095 |
| 1598781734 | DR. IRENE TEKWOR OPAI TETTEH MD Individual | Anesthesiology | 1 CHILDRENS PL SAINT LOUIS, MO 63110 (314) 454-6215 |
| 1902822125 | DR. PAUL A CHECCHIA MD Individual | Pediatrics (Pediatric Critical Care Medicine) | 1 CHILDRENS PL SUITE 5S20 SAINT LOUIS, MO 63110 (314) 454-2527 |
| 1346266566 | DR. FEI F SHIH MD PHD Individual | Pediatrics (Pediatric Rheumatology) | 1 CHILDRENS PL SUITE 11W32 SAINT LOUIS, MO 63110 (314) 362-1250 |
| 1427074640 | DR. ELAINE V RIEGLE MD Individual | Anesthesiology (Pediatric Anesthesiology) | 1 CHILDRENS PL SAINT LOUIS, MO 63110 (314) 454-6215 |
| 1689690802 | DR. MARIA I SPIVEY MD Individual | Pediatrics | 1 CHILDRENS PL SAINT LOUIS, MO 63110 (314) 454-2341 |
| 1841216074 | MS. TRACY S HOLTZMAN PT Individual | Physical Therapist | 1 CHILDRENS PL STE 11E10 SAINT LOUIS, MO 63110 (314) 454-6050 |
| 1588681472 | DR. TARA V SPEVACK PH.D., ABPP-CN Individual | Clinical Neuropsychologist | 1 CHILDRENS PL #3S32 SAINT LOUIS, MO 63110 (314) 454-6069 |
| 1265459788 | DR. MARGARET C THOMPSON MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 1 CHILDRENS PL SUITE 9S SAINT LOUIS, MO 63110 (314) 454-6228 |
| 1215954771 | DR. ROSS WILLIAM SHEPHERD MD Individual | Pediatrics (Pediatric Gastroenterology) | 1 CHILDRENS PL SAINT LOUIS, MO 63110 (314) 454-6173 |
| 1871510313 | DR. RICK A MARTIN MD Individual | Medical Genetics (Clinical Genetics (M.D.)) | 1 CHILDRENS PL SAINT LOUIS, MO 63110 (314) 454-6093 |
| 1871511345 | DR. RICHARD J BOWER MD Individual | Surgery (Pediatric Surgery) | 1 CHILDRENS PL SUITE A SAINT LOUIS, MO 63110 (314) 454-6022 |
| 1013937978 | DR. JEFFREY B TITUS PH.D. Individual | Clinical Neuropsychologist | 1 CHILDRENS PL 3S32 SAINT LOUIS, MO 63110 (314) 454-6069 |
| 1528081544 | DR. LYNN K WHITE MD Individual | Pediatrics (Adolescent Medicine) | 1 CHILDRENS PL SAINT LOUIS, MO 63110 (314) 454-2468 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093133886, enumerated in the NPI registry as an "individual" on March 31, 2014
The provider is located at 1 Childrens Pl Div Ped Critical Care Med Saint Louis, Mo 63110 and the phone number is (314) 454-2527
The provider's speciality is Pediatrics with taxonomy code 2080P0203X with a focus in Pediatric Critical Care Medicine
The provider might be accepting Accepts: Aetna CVS Health, WellPoint, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on March 31, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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