Doctor profile · Federal record
Dr. Kevin Ponciroli, M.D.
Pediatrics Physician · O Fallon, IL
- NPI 1598776411
- 20 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
793 Sunset Blvd
O Fallon, IL 622691960
(618) 668-2473 - Additional location
-
914 Red Scarlet CT
Shiloh, IL 622218306
(618) 622-4955
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- March 2, 2021
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- Illinois #036115733
- Medicaid
- IL #036115733
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1598776411. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$256
Transactions
13
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Merck Sharp & Dohme LLC | 3 | $63.88 | |
| IRONSHORE PHARMACEUTICALS INC. | 3 | $61.76 | |
| PFIZER INC. | 3 | $51.47 | |
| Seqirus USA Inc | 1 | $23.24 | |
| Cranial Technologies, Inc | 1 | $21.45 | |
| Tris Pharma Inc | 1 | $17.55 | |
| Supernus Pharmaceuticals, Inc. | 1 | $16.65 |
By nature of payment
Frequently asked questions
What is Dr. Kevin Ponciroli's medical specialty?
Dr. Kevin Ponciroli practices Pediatrics Physician in O Fallon, IL.
Where does Dr. Kevin Ponciroli practice?
Dr. Kevin Ponciroli practices at 793 Sunset Blvd, O Fallon, IL 622691960. Office phone: 6186682473.
What is Dr. Kevin Ponciroli's NPI?
Dr. Kevin Ponciroli's National Provider Identifier (NPI) is 1598776411, issued by NPPES.