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

Individual provider Internal Medicine Physician · NPI 1023024973

Dr. Gregorius Resuma Penilla, MD is an Internal Medicine in Fenton, Missouri. Qualified in 1981, 45 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
45
Licensed in
MO
In the registry since
2006
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

1345 Smizer Mill Rd Ste 1100
Fenton, MO 63026-7305
Phone: (636) 496-5040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14309 Manchester Rd, Manchester, MO 63011-4050 — (636) 227-8880

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 36678 (MO)

Record details

NPI number1023024973
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 31, 2006
Last updated in NPPESOctober 26, 2020
Certification dateOctober 26, 2020
Mailing addressPo Box 955534, Saint Louis, MO 63195-5534

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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