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

Dr. Maria Rosana Ponisio, MD

Individual provider Neuroradiology Physician · NPI 1073771283

Dr. Maria Rosana Ponisio, MD is a Nuclear Medicine in Saint Louis, Missouri. Qualified in 1990, 36 years ago. Practices with Miracl LLC, a 97-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
36
Licensed in
MO
In the registry since
2008
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

510 S Kingshighway Blvd Dept Radiology
Saint Louis, MO 63110-1016
Phone: (314) 362-7200
Fax: (314) 747-4189
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuroradiology Physician (primary) Taxonomy 2085N0700X · Licence 2013027440 (MO)

Record details

NPI number1073771283
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 26, 2008
Last updated in NPPESApril 17, 2025

Medicare enrollment

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

Medicare specialtyNUCLEAR MEDICINE
Also practisesDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Miracl Llc — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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