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DR. JOSE BAEZA M.D.
NPI 1568628725
Internal Medicine in Saint Louis, MO

Active since August 06, 2008PECOS EnrolledAccepts Medicare Assignment
1402 S GRAND BLVD # M260, ST. LOUIS UNIVERSITY - GME, SAINT LOUIS, MO 63104(314) 577-8762 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 2, 2021, Oct 23, 2017 (2 updates tracked since 2017).

About Dr. Jose Baeza M.d. NPPES

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

DR. JOSE BAEZA M.D. (NPI 1568628725) is an individual internal medicine provider in Saint Louis, Missouri, licensed in California (A120405) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2008).

NPPES Registry Identity

NPI1568628725
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOSE BAEZACredential: M.D.
Location Address1402 S GRAND BLVD # M260, ST. LOUIS UNIVERSITY - GMESaint Louis, MO 63104-1004
Mailing Address5813 Clemens AveSaint Louis, MO 63112-2311 · (314) 422-9618
Phone(314) 577-8762
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2008
Enumeration DateAugust 6, 2008
Last NPPES UpdateDecember 2, 20212 updates tracked since enumeration
✔ NPI 1568628725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CA · A120405✔ Licensed in MO · 2011011825
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1402 S GRAND BLVD # M260, Saint Louis, MO 63104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jose Baeza M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779753439
PECOS Enrollment IDI20121207000194
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.

Medicare Billing Reassignment

Medicare enrollment records show Jose Baeza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
1,557 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

ANDRE CAMILLE JOSEPH III MD
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
St. Louis City (314) 257-8000
JONATHAN F BREWER MD
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2919
RAINA D PATEL DO
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2408
NICHOLAS AFSHARI
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
St. Louis City (314) 977-9851
JOSEPH HOYLE
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2359
BLAKE ANDERSON DO
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
St. Louis City (618) 210-5609
ALIZABETH WEBER MD
Otolaryngology
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
St. Louis City (509) 844-6535
DR. MICHAEL LUGO MD
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
St. Louis City (714) 345-8727

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Baeza's NPI number?

The NPI number for Jose Baeza is 1568628725. It was assigned to this individual provider in the NPPES registry on August 6, 2008.

Where is Jose Baeza located?

Jose Baeza practices at 1402 S Grand Blvd # M260 St. Louis University - Gme, Saint Louis, MO 63104. The listed phone number is (314) 577-8762.

What is Jose Baeza's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jose Baeza enrolled in Medicare?

Yes. Jose Baeza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jose Baeza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Baeza reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Baeza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jose Baeza was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.