TATYANA PETROSOVA MD – NPI #1023089562
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

TATYANA PETROSOVA is a physician located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1023089562 to TATYANA PETROSOVA on February 01, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on Jun 09, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TATYANA PETROSOVA below.

NPI Profile for
TATYANA PETROSOVA

NPI Number
1023089562
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
TATYANA PETROSOVA
Credentials
MD
Primary location
10420 OLD OLIVE STREET RD STE 305
SAINT LOUIS, MO 63141-5914
Phone: (314) 797-7074 Fax: (314) 227-5505
Mailing address
PO BOX 653
CHESTERFIELD, MO 63006-0653
Phone: (314) 797-7074 Fax: (314) 227-5505
Sole Proprietor
Yes
Updated
Certification Date
Jun 09, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for TATYANA PETROSOVA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMO207235706
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 MO 2002007108

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
TATYANA PETROSOVA is affiliated with the following medical group(s):
  • HOSPITAL
    • BARNES-JEWISH ST PETERS HOSPITAL
      10 HOSPITAL DR
      SAINT PETERS, MO 63376
    • PROGRESS WEST HOSPITAL
      2 PROGRESS POINT PKWY
      O FALLON, MO 63368
    • SSM HEALTH DEPAUL HOSPITAL ST LOUIS
      12303 DEPAUL DRIVE
      BRIDGETON, MO 63044
    • SSM ST JOSEPH HEALTH CENTER
      300 1ST CAPITOL DR
      SAINT CHARLES, MO 63301
    • SSM ST JOSEPH HOSPITAL WEST
      100 MEDICAL PLAZA
      LAKE SAINT LOUIS, MO 63367
  • DIALYSIS FACILITY
    • DAVITA LAKE ST LOUIS AT HOME
      200 Brevco Plaza
      LAKE SAINT LOUIS, MO 63367
    • DAVITA NORTH ST LOUIS COUNTY DIALYSIS
      13015 New Halls Ferry Rd
      Florissant, MO 63033
    • FMC - BRIDGETON
      12380 Natural Bridge Rd
      Bridgeton, MO 63044
    • US RENAL CARE ST CHARLES DIALYSIS
      2655 Muegge Road Suite 101
      SAINT CHARLES, MO 63303

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