DR. SAMUEL O FADARE JR. MD
NPI 1184685802
Psychiatry & Neurology - Psychiatry in Gladstone, MO
About Dr. Samuel O Fadare Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL O FADARE JR. MD (NPI 1184685802) is an individual psychiatry provider in Gladstone, Missouri, licensed in Missouri (103939) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Samuel O Fadare Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Samuel Fadare reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gladstone, MO 64119
- Reassigned Medicare billing, Kansas and Missouri enrollments
Kansas City, MO 64119
- Reassigned Medicare billing, Missouri enrollment
- 175 clinicians in this Medicare group
Saint Joseph, MO 64506
- Reassigned Medicare billing, Missouri enrollment
- 29 clinicians in this Medicare group
Moberly, MO 65270
- Reassigned Medicare billing, Missouri enrollment
- 9 clinicians in this Medicare group
Villa Rica, GA 30180
- Reassigned Medicare billing, Georgia enrollment
- 10 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 64119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GLADSTONE, MO 64119
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Samuel Fadare's NPI number?
The NPI number for Samuel Fadare is 1184685802. It was assigned to this individual provider in the NPPES registry on March 31, 2006.
Where is Samuel Fadare located?
Samuel Fadare practices at 5604 NE Antioch Rd, Gladstone, MO 64119. The listed phone number is (660) 372-1313.
What is Samuel Fadare's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Samuel Fadare enrolled in Medicare?
Yes. Samuel Fadare is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Samuel Fadare's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Fadare reassigns Medicare benefits to 5 organizations: Samuel O Fadare, MD, PA (Gladstone, MO), Swope Health Services (Kansas City, MO), Family Guidance Center For Behavioral Healthcare (Saint Joseph, MO), Oak Hills Behavioral Health Solutions (Moberly, MO) and Mobolaji Shalom Oyebanjo, Inc (Villa Rica, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Fadare's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Fadare accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and Medica list Samuel Fadare as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Samuel Fadare was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Samuel O Fadare Jr., MD · NPI 1184685802
Psychiatry physician in Gladstone, Missouri. Individual provider, active in the CMS NPPES registry since March 31, 2006.
## Identity
- **NPI:** 1184685802 (Entity type: Individual)
- **Enumerated:** March 31, 2006
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 103939 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 5604 NE ANTIOCH RD, Gladstone, MO 64119-2327
- **Phone:** (660) 372-1313 · **Fax:** (660) 372-1339
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Samuel O Fadare, MD, PA (NPI 1639287824, Gladstone, MO); Swope Health Services (NPI 1518402965, Kansas City, MO); Family Guidance Center For Behavioral Healthcare (NPI 1932225141, Saint Joseph, MO); Oak Hills Behavioral Health Solutions (NPI 1710544416, Moberly, MO); Mobolaji Shalom Oyebanjo, Inc (NPI 1922280684, Villa Rica, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1986
## Record status
- **NPPES last updated:** October 6, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1184685802) · Data from the CMS NPPES public registry.