Individual provider · Type 1 NPI

Michael James Ponkowski, MD

Diagnostic Radiology Physician · St. Louis, MO

NPI number 1891318895 Active

Practice location

510 S Kingshighway Blvd, Dept Radiology
St. Louis, MO 63110-1016

Fax (314) 747-4189

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Other practice locations

  • 1100 Reid Pkwy, Richmond, IN 47374-1157 · (765) 983-3000

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X01100866A (IN)
Diagnostic Radiology Physician Primary 2085R0202X2024009882 (MO)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

354 other providers at this address

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About NPI 1891318895

Michael James Ponkowski, MD's National Provider Identifier is 1891318895, issued on May 26, 2020. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in St. Louis, MO. The record was last updated on Sep 14, 2026.