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

Individual provider Dermatology Physician · NPI 1558400788

Dr. Raffaele Pennella, MD is a Dermatology in Springfield, Missouri. Graduated from University of Oklahoma College of Medicine in 1991, 35 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
35
Trained at
University of Oklahoma College of Medicine
Licensed in
MO
In the registry since
2007
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

3808 S Greystone Ct
Springfield, MO 65804
Phone: (417) 889-3332
Fax: (417) 881-1410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 110288 (MO)

Record details

NPI number1558400788
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 5, 2007
Last updated in NPPESDecember 8, 2016

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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