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

Individual provider Nephrology Physician · NPI 1023089562

Tatyana Petrosova, MD is a Nephrology in Saint Louis, Missouri. Qualified in 1988, 38 years ago. Practices with Tatyana Petrosova MD PC, a 2-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
38
Licensed in
IL, MO
In the registry since
2006
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

10420 Old Olive Street Rd Ste 305
Saint Louis, MO 63141-5914
Phone: (314) 797-7074
Fax: (314) 227-5505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 2002007108 (MO)
Nephrology Physician Taxonomy 207RN0300X · Licence 036107203 (IL)

Record details

NPI number1023089562
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 1, 2006
Last updated in NPPESJune 9, 2024
Certification dateJune 9, 2024

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Tatyana Petrosova Md Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

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