MRS. ANFISA BAIANDUROVA MD
NPI 1023616281
Student in an Organized Health Care Education/Training Program in Chicago, IL

Q: What is Anfisa Baiandurova's NPI number?

The NPI number for Anfisa Baiandurova is 1023616281. It was assigned to this individual provider in the NPPES registry on October 10, 2020.

Q: What is Anfisa Baiandurova's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since October 10, 2020PECOS Enrolled

2121 W HARRISON ST, CHICAGO, IL 60612(503) 703-4967 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Anfisa Baiandurova Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ANFISA BAIANDUROVA MD (NPI 1023616281) is an individual student in an organized health care education/training program in Chicago, Illinois, licensed in Oregon (PG199228) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023616281

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMRS. ANFISA BAIANDUROVACredential: MD

Location Address2121 W HARRISON STChicago, IL 60612-3705

Mailing Address2121 W Harrison StChicago, IL 60612-3705

Phone(503) 703-4967

Sole ProprietorNo

Enumeration DateOctober 10, 2020

Last NPPES UpdateJuly 23, 2025

NPPES CertifiedJuly 23, 2025

✔ NPI 1023616281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in OR · PG199228

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2121 W HARRISON ST, Chicago, IL 60612

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Anfisa Baiandurova Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHEL TAWIL MD

Pathology (Forensic Pathology)