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

Individual provider Hospice and Palliative Medicine (Internal Medicine) Physician · NPI 1184678625

Katharine Ponzillo, MD is a Hospice/Palliative Care in Saint Louis, Missouri. Graduated from University of Missouri, Kansas City, School of Medicine in 1988, 38 years ago. Practices with Complex Illness Management of St Lukes LLC, a 6-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
38
Trained at
University of Missouri, Kansas City, School of Medicine
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

3009 N Ballas Rd Ste 383C
Saint Louis, MO 63131-2324
Phone: (314) 305-1447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10010 Kennerly Rd, Saint Louis, MO 63128-2106 — (314) 525-4100

Specialties & licences

Hospice and Palliative Medicine (Internal Medicine) Physician (primary) Taxonomy 207RH0002X · Licence 102328 (MO)

Record details

NPI number1184678625
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 20, 2006
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023

Medicare enrollment

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

Medicare specialtyHOSPICE/PALLIATIVE CARE
Also practisesINTERNAL MEDICINE
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Complex Illness Management Of St Lukes Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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