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KENTO SONODA M.D., A.A.H.I.V.S.
NPI 1265926661
Family Medicine in Saint Louis, MO

Active since June 19, 2018PECOS EnrolledAccepts Medicare Assignment
1225 S GRAND BLVD FL 2, SAINT LOUIS, MO 63104(314) 617-2510(314) 768-6605 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 27, 2022, Feb 28, 2022, Jan 8, 2019 and 2 more (5 updates tracked since 2018).

About Kento Sonoda M.d., A.a.h.i.v.s. NPPES

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

KENTO SONODA M.D., A.A.H.I.V.S. (NPI 1265926661) is an individual family medicine provider in Saint Louis, Missouri, licensed in Missouri (2022007809) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - St Louis, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1265926661
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKENTO SONODACredential: M.D., A.A.H.I.V.S.
Location Address1225 S GRAND BLVD FL 2Saint Louis, MO 63104-1016
Mailing Address1008 S. Spring Ave, Slucare Academic Pavilion, 3rd Floor, Family And Community MedicineSaint Louis, MO 63110 · (314) 977-8480
Phone(314) 617-2510
Fax(314) 768-6605
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 19, 2018
Last NPPES UpdateJanuary 27, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1265926661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MO · 2022007809✔ Licensed in PA · MT216745✔ Licensed in PA · MD475598
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 2022007809 (MO)
1225 S GRAND BLVD FL 2, Saint Louis, MO 63104
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Secondary Practice Location 1

Location 11430 Olive St Ste 100Saint Louis, MO 63103-2303 · Phone (314) 645-6840

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kento Sonoda M.d., A.a.h.i.v.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608126305
PECOS Enrollment IDI20220728002696
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Kento Sonoda reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Health Care Group
Same address
Internal Medicine
1225 SOUTH GRAND BLVD, 2L - DOOR 3,4
Saint Louis, MO 63104
  • Reassigned Medicare billing, Missouri enrollment
  • 1,294 clinicians in this Medicare group
NPI 1306589544 (314) 977-6100
Ssm Health Care St. Louis
4.0 mi
Emergency Medicine
6420 CLAYTON RD
Saint Louis, MO 63117
  • Reassigned Medicare billing, Missouri enrollment
  • 741 clinicians in this Medicare group
NPI 1366400855 (314) 768-8000
County Of St Louis Division Of Fiscal Management
10 mi
Public Health, State or Local
6121 N HANLEY RD
Saint Louis, MO 63134
  • Reassigned Medicare billing, Missouri enrollment
  • 46 clinicians in this Medicare group
NPI 1780639088 (314) 615-0600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services24 patients
Hemoglobin a1c level, by device for home use 83037
A Hemoglobin A1c device for home use allows you to check your average blood sugar levels over the past 3 months. It's a simple, painless test that provides immediate results, helping you manage your diabetes more effectively.
24 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260091
Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County
Emergency services Birthing friendly

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. JOHN ELLIOTT SALOMONE MD
Internal Medicine (Allergy & Immunology)
1225 S GRAND BLVD FL 2
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2355
GUOYU LING M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1225 S GRAND BLVD FL 2
SAINT LOUIS, MO 63104
St. Louis City (314) 977-6157
DR. SANDEEP DHINDSA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1225 S GRAND BLVD FL 2
SAINT LOUIS, MO 63104
St. Louis City (314) 977-7330

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 Kento Sonoda's NPI number?

The NPI number for Kento Sonoda is 1265926661. It was assigned to this individual provider in the NPPES registry on June 19, 2018.

Where is Kento Sonoda located?

Kento Sonoda practices at 1225 S Grand Blvd Fl 2, Saint Louis, MO 63104. The listed phone number is (314) 617-2510.

What is Kento Sonoda's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kento Sonoda enrolled in Medicare?

Yes. Kento Sonoda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kento Sonoda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kento Sonoda reassigns Medicare benefits to 3 organizations: Ssm Health Care Group (Saint Louis, MO), Ssm Health Care St. Louis (Saint Louis, MO) and County Of St Louis Division Of Fiscal Management (Saint Louis, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kento Sonoda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kento Sonoda accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Kento Sonoda as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kento Sonoda affiliated with any hospitals?

According to CMS data, Kento Sonoda is affiliated with Ssm Health St Mary's Hospital - St Louis and Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Kento Sonoda was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.