Active NPI
Brij Raj Vaid, M.D.
- Internal Medicine Physician
- Saint Louis, MO
National Provider Identifier
1477583797
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jun 18, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 101441
- Practice address
- 13065 Old Tesson Ferry Road
Saint Louis, MO 63128 - Phone
- (314) 543-5222
- Fax
- (314) 543-5277
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 101441 | MO | Primary |
Addresses
Primary practice location
13065 Old Tesson Ferry Road
Saint Louis, MO 63128
Mailing address
13065 Old Tesson Ferry Road
Saint Louis, MO 63128
Phone (314) 543-5222
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4398736 | Other | MO | AETNA |
| 182833 | Other | MO | HEALTHLINK |
| 81861 | Other | MO | GROUP HEALTH PLAN |
| 7332 | Other | MO | HEALTHCARE USA |
| 5746972 | Other | MO | CIGNA |
| 110631 | Other | MO | BCBSMO |
| 206880627 | Medicaid | MO | |
| 400452 | Other | UHC | |
| F28384 | Other | MO | MERCY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Anthony'S Medical Center | Past | Accepting new patients | |
| Practice Management Affiliates Consulting Inc | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Saint Peters, MO
- NPI 1053341289
Internal Medicine
-
- Nursing Facility/Intermediate Care Facility
- Saint Louis, MO
- NPI 1760477434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395014400000",
"number": "1477583797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13065 OLD TESSON FERRY ROAD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63128",
"telephone_number": "314-543-5222",
"fax_number": "314-543-5277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13065 OLD TESSON FERRY ROAD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63128",
"telephone_number": "314-543-5222",
"fax_number": "314-543-5277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAID",
"first_name": "BRIJ",
"middle_name": "RAJ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2014-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "101441",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4398736",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "182833",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH PLAN",
"identifier": "81861",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE USA",
"identifier": "7332",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5746972",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMO",
"identifier": "110631",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206880627",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "400452",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY",
"identifier": "F28384",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.