Daniel Souvannarath
NPI 1174144828 · Physician Assistant · Bridgeton, MO
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Daniel Souvannarath is a Physician Assistant provider in Bridgeton, MO (NPI 1174144828).
Provider details
- NPI number
- 1174144828
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
6 yrs in NPPES registry
- Profile completeness33% of score
83% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$29 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 3437 Caroline St Ste 3082Saint Louis, MO 63104-1111Phone: (314) 977-8648
Registry dates
- Enumerated
- 2020-05-05
- Last updated
- 2021-09-13
- Certified
- 2021-09-13
Frequently asked questions
- What is Daniel Souvannarath's NPI number?
- Daniel Souvannarath's National Provider Identifier (NPI) is 1174144828, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Daniel Souvannarath's specialty?
- Daniel Souvannarath is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Daniel Souvannarath located?
- Daniel Souvannarath's practice location on file with NPPES is 12266 De Paul Dr Ste 310, Bridgeton, MO 63044-2562.
- What is Daniel Souvannarath's phone number?
- The practice phone number listed in the NPPES registry for Daniel Souvannarath is (314) 209-5171.
- Does Daniel Souvannarath accept Medicare?
- Daniel Souvannarath is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Daniel Souvannarath's NPI active?
- Yes — Daniel Souvannarath's NPI (1174144828) is active in the NPPES registry as of the last update on 2021-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.