Active NPI
Daniel Aaron Braga, MD
- Vascular & Interventional Radiology Physician
- Saint Louis, MO
National Provider Identifier
1508361973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 2024031512
- Practice address
- 510 S Kingshighway Blvd
Dept Radiology
Saint Louis, MO 63110-1016 - Phone
- (314) 362-7200
- Fax
- (314) 747-4189
- NPI assigned
- Mar 28, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 2024031512 | MO | Primary |
Addresses
Primary practice location
510 S Kingshighway Blvd
Dept Radiology
Saint Louis, MO 63110-1016
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 362-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200127748 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241015002266 | MO | Practitioner - Diagnostic Radiology | 2567708092 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Washington University
Practice addresses (Care Compare)
510 S Kingshighway Blvd
Saint Louis, MO 63110-1016
Phone 31436272001
Hospital & facility affiliations
- Barnes Jewish Hospital
- Missouri Baptist Medical Center
- Barnes-Jewish West County Hospital
- Barnes-Jewish St Peters Hospital
- Progress West Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024031512 | MO | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington University | Vascular & Interventional Radiology | Current | Accepting new patients |
| Miracl, LLC | Current | Accepting new patients |
Locations
1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
660 S Euclid Ave
#8131
Saint Louis, MO 63110
Phone (314) 362-2809
510 S Kingshighway Blvd
Saint Louis, MO 63110
Phone (314) 362-0177
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.
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1962442475
MO, Vascular & Interventional Radiology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Peters, MO
- NPI 1144238908
Hospital
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1831107895
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1508361973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7412011",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606742011",
"telephone_number": "314-362-7200",
"fax_number": "314-747-4189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 S KINGSHIGHWAY BLVD",
"address_2": "DEPT RADIOLOGY",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101016",
"telephone_number": "314-362-7200",
"fax_number": "314-747-4189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAGA",
"first_name": "DANIEL",
"middle_name": "AARON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-28",
"last_updated": "2025-04-15",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MO",
"license": "2024031512",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200127748",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "510 S Kingshighway Blvd",
"address_2": "Dept Radiology",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101016",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 15, 2025; 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.