Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jose Baeza, MD

Individual provider Internal Medicine Physician · NPI 1568628725

Dr. Jose Baeza, MD is an Internal Medicine in Saint Louis, Missouri. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2008, 18 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California and Missouri.

Years since qualifying
18
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
CA, MO
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1402 S Grand Blvd # M260 ST Louis University - Gme
Saint Louis, MO 63104-1004
Phone: (314) 577-8762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A120405 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2011011825 (MO)

Record details

NPI number1568628725
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 6, 2008
Last updated in NPPESDecember 2, 2021
Mailing address5813 Clemens Ave, Saint Louis, MO 63112-2311

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2008 (18 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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