Irina Baazov, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2021050790 Issued in MO

Practice address

2325 Dougherty Ferry Rd Ste 207
Saint Louis, MO 63122-3356

Phone

(314) 821-5002

Fax

(314) 821-5029

NPI assigned

Mar 2, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ear Nose and Throat and Plastic Surg IncGroup PAC ID 0547165094, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179
• SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ear Nose & Throat & Plastic Surg Inc

  • Facial Plastic Surgery Physician
  • Saint Louis, MO
  • NPI 1104911288

  MO

  Medicare reassignment Care Compare group NPD
• Hodag Medical Services, LLC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Saint Peters, MO
  • NPI 1003336819
  NPD (past)
• Metropolitan Plastic Surgery PC

  • Plastic and Reconstructive Surgery Physician
  • St Peters, MO
  • NPI 1184601569
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• SSM Select Rehab St Louis LLC

  • Rehabilitation Hospital
  • Richmond Heights, MO
  • NPI 1659511988

  Inpatient rehabilitation facility

  Care Compare affiliation
• St. Lukes Episcopal-Presbyterian Hospital

  • General Acute Care Hospital
  • Chesterfield, MO
  • NPI 1346251543

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1942957725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 DOUGHERTY FERRY RD STE 207",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223356",
            "telephone_number": "314-821-5002",
            "fax_number": "314-821-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 DOUGHERTY FERRY RD STE 207",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223356",
            "telephone_number": "314-821-5002",
            "fax_number": "314-821-5029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12277 De Paul Dr Ste 303",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "MO",
            "postal_code": "630442529",
            "country_code": "US",
            "telephone_number": "314-821-5002",
            "fax_number": "314-821-5029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 Mexico Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633761666",
            "country_code": "US",
            "telephone_number": "314-821-5002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAAZOV",
        "first_name": "IRINA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021050790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• B&D in-Home Services LLC
• Emma K Baalman, DPT
• Laura Baalmann, MD
• Laura A Baalmann, MD
• Peter Baartman
• Rebecca Oluwafunmito Babalola
• Elizabeth Dunn Babcock, R.D.
• Hilary M Babcock, MD
• William W Baber, MD
• Aleksandar M. Babic, M.D., PH.D.

• All providers in Saint Louis, MO
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.