Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michelle Patricia Kallis, MD

Individual provider Pediatric Surgery Physician · NPI 1629464045

Michelle Patricia Kallis, MD is a General Surgery in Saint Louis, Missouri. Graduated from New York Medical College in 2015, 11 years ago. Works from 3 locations. Licensed in Missouri and New Jersey.

Years since qualifying
11
Trained at
New York Medical College
Licensed in
MO, NJ
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Childrens Pl
Saint Louis, MO 63110-1002
Phone: (314) 454-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 100 Madison Ave Fl 3, Morristown, NJ 07960-6136 — (908) 522-3523
  • 11 Overlook Rd Ste 230, Summit, NJ 07901-3580 — (908) 522-3523

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence 2023020139 (MO)
Pediatric Surgery Physician Taxonomy 2086S0120X · Licence 25MA12648700 (NJ)

Record details

NPI number1629464045
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2015
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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