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

Peninnah Mutungi, MD

Individual provider Obesity Medicine (Preventive Medicine) Physician · NPI 1720251945

Peninnah Mutungi, MD is an Internal Medicine in Saint Louis, Missouri. Qualified in 2001, 25 years ago. Practices with St Anthonys Physician Organization Hospitalist Services Lc, a 139-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
25
Licensed in
IL, MO
In the registry since
2008
Specialties on file
3
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

10010 Kennerly Rd 3 Southbridge
Saint Louis, MO 63128-2106
Phone: (314) 525-1328
Fax: (314) 525-1378
Show map & directions

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

Additional practice locations (3)

  • 915 N Grand Blvd, Saint Louis, MO 63106-1621 — (314) 652-4000
  • 12700 Southfork Rd Ste 205, Saint Louis, MO 63128-3201 — (314) 543-5264
  • 10420 Old Olive Street Rd Ste 100, Saint Louis, MO 63141-5937 — (314) 914-4833

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2010005859 (MO)
Obesity Medicine (Preventive Medicine) Physician Taxonomy 2083B0002X · Licence 2010005859 (MO)
Hospitalist Physician Taxonomy 208M00000X · Licence 036-120171 (IL)

Record details

NPI number1720251945
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2008
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice St Anthonys Physician Organization Hospitalist Services Lc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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