TATYANA PETROSOVA, MD PC – NPI #1700026515
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.

TATYANA PETROSOVA, MD PC is a provider located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1700026515 to TATYANA PETROSOVA, MD PC on March 06, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 4 additional location(s) assigned to this provider which are listed below. 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 Feb 17, 2026. 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, MD PC below.

NPI Profile for
TATYANA PETROSOVA, MD PC

NPI Number
1700026515
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TATYANA PETROSOVA, MD PC
Primary location
10420 OLD OLIVE STREET RD STE 305
SAINT LOUIS, MO 63141-5914
Phone: (314) 797-7074 Fax: (314) 227-5505
4 Other location(s):
936 Charbonier Rd
FLORISSANT, MO 63031-5220
Phone: (314) 797-7074
Fax: (314) 227-5505
330 1st Capitol Dr Ste 240
Saint Charles, MO 63301-2846
Phone: (636) 443-2440
Fax: (314) 227-5505
10 Hospital Dr Fl 3
Saint Peters, MO 63376-1659
Phone: (636) 317-4000
Fax: (314) 227-5505
1021 Wentzville Pkwy
Wentzville, MO 63385-3437
Phone: (636) 332-3390
Fax: (314) 227-5505
Mailing address
PO BOX 653
CHESTERFIELD, MO 63006-0653
Phone: (314) 797-7074 Fax: (314) 227-5505
Organization Subpart
No
Authorized Official
TATYANA PETROSOVA
OWNER
Phone: (147) 977-0743
Updated
Certification Date
Feb 17, 2026

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, MD PC

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
medicaidMO504381203
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)

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.