Daniel Zackary Souvannarath
Physician Assistant β’ Bridgeton, MO
12266 De Paul Dr Ste 310
Bridgeton, MO 630442562
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
12266 De Paul Dr Ste 310
Bridgeton, MO 630442562
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Saint Louis, MO. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Open Payments general payments, program year 2025
All general payments: $343.95 across 10 records.
By nature of payment
- Food and Beverage: $343.95 across 10 records.
Reporting-company totals (3 largest of 6)
- Regeneron Pharmaceuticals, Inc.: $150.37 across 2 records.
- Optinose US, Inc.: $56.15 across 3 records.
- ARS Pharmaceuticals Operations, Inc.: $46.00 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
NPI first issued
2020
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Daniel Souvannarath has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Daniel Souvannarath as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Bridgeton and Missouri
21 active clinicians are listed under Physician Assistant with a practice address in Bridgeton, MO (1,829 in Missouri).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Bridgeton
4.8% of these 21 clinicians have the CMS telehealth indicator.
81% of these 21 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Industry payments (Open Payments)
Industry payments (Open Payments) went from $28.96 in 2024 to $343.95 in 2025.
- 2024: $28.96
- 2025: $343.95
Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 β December 31, 2025): fewer than 11 records totaling $343.95.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $111.97 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
XPRESS LOPROFILE | General | $39.03 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $38.40 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $26.88 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
XOLAIR | General | $25.52 |
| ARS Pharmaceuticals Operations, Inc. |
Food and Beverage
In-kind items and services
|
NEFFY | General | $23.00 |
| ARS Pharmaceuticals Operations, Inc. |
Food and Beverage
In-kind items and services
|
NEFFY | General | $23.00 |
| Optinose US, Inc. |
Food and Beverage
In-kind items and services
|
Xhance | General | $21.43 |
| Optinose US, Inc. |
Food and Beverage
In-kind items and services
|
Xhance | General | $20.67 |
| Optinose US, Inc. |
Food and Beverage
In-kind items and services
|
Xhance | General | $14.05 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-09-13NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20210903001882
MO
1759787468
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
3437 Caroline St Ste 3082
Saint Louis, MO 631041111
Phone: 3149778648
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 12266 DE PAUL DR STE 310, BRIDGETON, MO 630442562 (Tel: 3142095171)
Registered at PO BOX 955534, SAINT LOUIS, MO 631955534
Additional practice office at 3437 Caroline St Ste 3082, Saint Louis, MO 631041111
Physician Assistant (license number reported to NPPES: MO 2021010216)
NPI status registered as active in NPPES database
Registered at 3437 CAROLINE ST STE 3082, SAINT LOUIS, MO 631041111 (Tel: 3149778648)
Registered at 1810 VALLEY RIDGE DR, IMPERIAL, MO 630522266 (Tel: 3147759602)
Recorded as DANIEL SOUVANNARATH
Physician Assistant
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Bridgeton
- Lynn Robbins, PA-C
- Sarah Simmon, PA
- Andrew Wahle, PA
- Danielle Brady
- Elizabeth Bokermann, PA
- Laura Fischer
Mailing Address
Po Box 955534
Saint Louis, MO 631955534