OrganizationActive
Redbird Pediatrics, PLLC
NPI 1124634449 · Pediatrics Physician · O Fallon, IL
Redbird Pediatrics, PLLC is a Pediatrics Physician organization in O Fallon, IL (NPI 1124634449).
Provider details
- NPI number
- 1124634449
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kevin Ponciroli, Pediatrician(618) 668-2473
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
793 Sunset Blvd
O Fallon, IL 62269-1960
Phone: (618) 668-2473
Street-level locationGet directions
Mailing address
793 Sunset Blvd
O Fallon, IL 62269-1960
Additional practice locations (1)
- 914 Red Scarlet CtShiloh, IL 62221-8306Phone: (618) 972-7422
Registry dates
- Enumerated
- 2020-09-22
- Last updated
- 2021-03-02
- Certified
- 2021-03-02
Frequently asked questions
- What is Redbird Pediatrics, PLLC's NPI number?
- Redbird Pediatrics, PLLC's National Provider Identifier (NPI) is 1124634449, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Redbird Pediatrics, PLLC?
- Redbird Pediatrics, PLLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Redbird Pediatrics, PLLC located?
- Redbird Pediatrics, PLLC's practice location on file with NPPES is 793 Sunset Blvd, O Fallon, IL 62269-1960.
- What is Redbird Pediatrics, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Redbird Pediatrics, PLLC is (618) 668-2473.
- Who is the authorized official for Redbird Pediatrics, PLLC?
- The authorized official listed on Redbird Pediatrics, PLLC's NPPES record is Kevin Ponciroli, Pediatrician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Redbird Pediatrics, PLLC's NPI active?
- Yes — Redbird Pediatrics, PLLC's NPI (1124634449) is active in the NPPES registry as of the last update on 2021-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.