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

Redbird Pediatrics, PLLC

Organization Pediatrics Physician · NPI 1124634449

Redbird Pediatrics, PLLC is a Pediatrics Physician in O Fallon, Illinois. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

793 Sunset Blvd
O Fallon, IL 62269-1960
Phone: (618) 668-2473
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 914 Red Scarlet Ct, Shiloh, IL 62221-8306 — (618) 972-7422

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1124634449
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Ponciroli — Pediatrician · (618) 668-2473
NPI enumeratedSeptember 22, 2020
Last updated in NPPESMarch 2, 2021
Certification dateMarch 2, 2021
Mailing address793 Sunset Blvd, O Fallon, IL 62269-1960

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