WHITE OAK PSYCHIATRIC SERVICES
NPI 1376757617
Psychologist - Prescribing (Medical) in Lees Summit, MO
About White Oak Psychiatric Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WHITE OAK PSYCHIATRIC SERVICES (NPI 1376757617) is a healthcare organization registered as a prescribing (medical) in Lees Summit, Missouri and active in the NPI registry since May 2007. The organization lists Mohammed Azher Mirza, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
White Oak Psychiatric Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to White Oak Psychiatric Services, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (14)
Lees Summit, MO 64064
Lees Summit, MO 64064
Lees Summit, MO 64064
Lees Summit, MO 64064
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 M A Mirza, LLC's NPI number?
The NPI number for M A Mirza, LLC is 1376757617. It was assigned to this organization in the NPPES registry on May 9, 2007. The provider is doing business as White Oak Psychiatric Services.
Where is M A Mirza, LLC located?
M A Mirza, LLC is located at 4045 NE Lakewood Way Suite 130, Lees Summit, MO 64064. The listed phone number is (816) 886-2184.
What is M A Mirza, LLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.
Is M A Mirza, LLC enrolled in Medicare?
Yes. M A Mirza, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through M A Mirza, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 5 Medicare specialties reassign their Medicare billing to M A Mirza, LLC. A 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 the clinician's services. The largest specialties are Psychiatry (7), Nurse Practitioner (3) and Mental Health Counselor (2). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does M A Mirza, LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list M A Mirza, LLC 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 M A Mirza, LLC was last updated on March 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# White Oak Psychiatric Services · NPI 1376757617
Prescribing (Medical) organization in Lees Summit, Missouri. Organization record, active in the CMS NPPES registry since May 9, 2007.
## Identity
- **NPI:** 1376757617 (Entity type: Organization)
- **Enumerated:** May 9, 2007
- **Primary specialty:** Psychologist - Prescribing (Medical) · taxonomy 103TP0016X
- **Legal business name:** M A Mirza, Llc
- **Organization subpart:** No
- **Authorized official:** Mohammed Mirza, OWNER
## Practice location
- **Address:** 4045 NE LAKEWOOD WAY, SUITE 130, Lees Summit, MO 64064-1799
- **Phone:** (816) 886-2184 · **Fax:** (816) 886-2397
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (7), Nurse Practitioner (3), Mental Health Counselor (2); 5 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 21, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1376757617) · Data from the CMS NPPES public registry.