1. Home
  2. Directory
  3. Missouri
  4. Florissant
  5. Internal Medicine
  6. NPI Profile

DR. ANTONIO R PENILLA M.D.
NPI 1265431399
Internal Medicine - Cardiovascular Disease in Florissant, MO

Active since July 20, 2005
1225 GRAHAM RD, STE 2310C, FLORISSANT, MO 63031(314) 953-6300(314) 953-6309 Get Directions Write a Review

NPPES record last updated: January 30, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Antonio R Penilla M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANTONIO R PENILLA M.D. (NPI 1265431399) is an individual cardiovascular disease provider in Florissant, Missouri, licensed in Missouri (33875) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1265431399
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. ANTONIO R PENILLACredential: M.D.
Location Address1225 GRAHAM RD, STE 2310CFlorissant, MO 63031-8012
Mailing Address670 Mason Ridge Center Dr, Ste. 300Saint Louis, MO 63141-8573 · (314) 953-6300 · Fax (314) 953-6309
Phone(314) 953-6300
Fax(314) 953-6309
Sole ProprietorNo
Enumeration DateJuly 20, 2005
Last NPPES UpdateJanuary 30, 2013
✔ NPI 1265431399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MO · 33875
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1225 GRAHAM RD, Florissant, MO 63031
Open in Google Maps ↗

Other Identifiers 6

Medicaid200920817MO
OtherP00320613Rr Mcr
Medicare UPINA10822MO
Medicare PIN916304884MO
Other7480467052IL · Idpa
Medicare PINK25786IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS SHINE M.D.
Emergency Medicine
1225 GRAHAM RD
FLORISSANT, MO 63031
St. Louis County (314) 953-6000
ROGER WAXELMAN M.D.
Emergency Medicine
1225 GRAHAM RD
FLORISSANT, MO 63031
St. Louis County (314) 953-6000
WILLIAM WESTON M.D.
Emergency Medicine
1225 GRAHAM RD
FLORISSANT, MO 63031
St. Louis County (314) 653-5000
NORTH COUNTY EMERGENCY PHYSICIANS, LLP
Emergency Medicine
1225 GRAHAM RD
FLORISSANT, MO 63031
St. Louis County (314) 953-6000
CYNTHIA BLEICHROTH M.D.
Emergency Medicine
1225 GRAHAM RD
FLORISSANT, MO 63031
St. Louis County (314) 653-5000
CHRISTIAN HOSPITAL NORTHEAST- NORTHWEST
General Acute Care Hospital
1225 GRAHAM RD
FLORISSANT, MO 63031
St. Louis County (314) 653-5000
YOLANDA A ACKLIN NP
Nurse Practitioner
1225 GRAHAM RD
FLORISSANT, MO 63031
St. Louis County (314) 953-6000
PHYSICIAN GROUPS LC
Clinic/Center (Primary Care)
1225 GRAHAM RD, SUITE 220
FLORISSANT, MO 63031
St. Louis County (314) 838-6700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonio Penilla's NPI number?

The NPI number for Antonio Penilla is 1265431399. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Antonio Penilla located?

Antonio Penilla practices at 1225 Graham Rd Ste 2310C, Florissant, MO 63031. The listed phone number is (314) 953-6300.

What is Antonio Penilla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Antonio Penilla was last updated on January 30, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.