Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Tyler Jacob Fraum, MD

Individual provider Diagnostic Radiology Physician · NPI 1235492281

Dr. Tyler Jacob Fraum, MD is a Nuclear Medicine in Saint Louis, Missouri. Graduated from Duke University School of Medicine in 2012, 14 years ago. Practices with Miracl LLC, a 97-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
14
Trained at
Duke University School of Medicine
Licensed in
MO
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

510 S Kingshighway Blvd Dept Radiology
Saint Louis, MO 63110-1016
Phone: (314) 362-7200
Fax: (314) 747-4189
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 2017005254 (MO)

Record details

NPI number1235492281
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2012
Last updated in NPPESApril 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNUCLEAR MEDICINE
Also practisesDIAGNOSTIC RADIOLOGY
Medical schoolDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Miracl Llc — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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