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

Dr. Tatyana R Demidovich, MD

Individual provider Anesthesiology Physician · NPI 1376539668

Dr. Tatyana R Demidovich, MD is an Anesthesiology in St. Louis, Missouri. Graduated from University of Nebraska College of Medicine in 1999, 27 years ago. Practices with SSM Health Care Group, a 923-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
27
Trained at
University of Nebraska College of Medicine
Licensed in
IN
In the registry since
2005
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

3635 Vista Ave FDT3 St Louis University
St. Louis, MO 63110
Phone: (314) 577-8750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 01059495A (IN)

Record details

NPI number1376539668
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 22, 2005
Last updated in NPPESOctober 20, 2009

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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