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

Kento Sonoda, MD, AAHIVS

Individual provider Family Medicine Physician · NPI 1265926661

Kento Sonoda, MD, AAHIVS is a Family Practice in Saint Louis, Missouri. Qualified in 2014, 12 years ago. Practices with SSM Health Care Group, a 923-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri and Pennsylvania.

Years since qualifying
12
Licensed in
MO, PA
In the registry since
2018
Specialties on file
4
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

1225 S Grand Blvd Fl 2
Saint Louis, MO 63104-1016
Phone: (314) 617-2510
Fax: (314) 768-6605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1430 Olive St Ste 100, Saint Louis, MO 63103-2303 — (314) 645-6840

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2022007809 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence MT216745 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD475598 (PA)
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X · Licence 2022007809 (MO)

Record details

NPI number1265926661
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , AAHIVS
Sole proprietorNo
NPI enumeratedJune 19, 2018
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesADDICTION MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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