DR. SAMAD NASARYAB HASSAN MD
NPI 1922415751
Psychiatry & Neurology - Child & Adolescent Psychiatry in Warsaw, MO

Active since July 14, 2014PECOS EnrolledAccepts Medicare Assignment
17571 N DAM ACCESS RD, WARSAW, MO 65355(888) 403-1071(660) 428-1283 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 5, 2024, Sep 13, 2021, Oct 28, 2019 and 2 more (5 updates tracked since 2016).

About Dr. Samad Nasaryab Hassan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMAD NASARYAB HASSAN MD (NPI 1922415751) is an individual child & adolescent psychiatry provider in Warsaw, Missouri, licensed in Missouri (2017022854) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1922415751
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. SAMAD NASARYAB HASSANCredential: MD
Location Address17571 N DAM ACCESS RDWarsaw, MO 65355-6396
Mailing Address1800 CommunityClinton, MO 64735-8804 · (660) 885-8131
Fax(660) 428-1283
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 14, 2014
Last NPPES UpdateDecember 5, 20245 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
✔ NPI 1922415751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in MO · 2017022854✔ Licensed in NY · 322713
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 2017022854 (MO), 322713 (NY)
17571 N DAM ACCESS RD, Warsaw, MO 65355

Secondary Practice Locations 3

Location 191 Troy SqTroy, MO 63379-3108 · Phone (888) 403-1071 · Fax (636) 528-2123
Location 2107 Broadway StreetEl Dorado Springs, MO 64744-1133 · Phone (888) 403-1071
Location 3320 Mac BlvdNevada, MO 64772-3990 · Phone (888) 403-1071

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. Samad Nasaryab Hassan 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.

PECOS PAC ID8426480682
PECOS Enrollment IDI20231205000240
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Samad Hassan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
1800 COMMUNITY
Clinton, MO 64735
  • Reassigned Medicare billing, Missouri enrollment
  • 968 clinicians in this Medicare group
Clinic/Center
462 GRIDER ST
Buffalo, NY 14215
  • Reassigned Medicare billing, New York enrollment
  • 302 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
17571 N DAM ACCESS RD
WARSAW, MO 65355
Social Worker (Clinical)
17571 N DAM ACCESS RD
WARSAW, MO 65355
Counselor (Professional)
17571 N DAM ACCESS RD
WARSAW, MO 65355
Social Worker
17571 N DAM ACCESS RD
WARSAW, MO 65355
Clinic/Center (Federally Qualified Health Center (FQHC))
17571 N DAM ACCESS RD
WARSAW, MO 65355
Nurse Practitioner (Family)
17571 N DAM ACCESS RD
WARSAW, MO 65355
Social Worker (Clinical)
17571 N DAM ACCESS RD
WARSAW, MO 65355
Dentist (General Practice)
17571 N DAM ACCESS RD
WARSAW, MO 65355

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 Samad Hassan's NPI number?

The NPI number for Samad Hassan is 1922415751. It was assigned to this individual provider in the NPPES registry on July 14, 2014.

Where is Samad Hassan located?

Samad Hassan practices at 17571 N Dam Access Rd, Warsaw, MO 65355. The listed phone number is (888) 403-1071.

What is Samad Hassan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Samad Hassan enrolled in Medicare?

Yes. Samad Hassan 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 Samad Hassan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samad Hassan reassigns Medicare benefits to 2 organizations: Compass Health, Inc (Clinton, MO) and Erie County Medical Center Corporation (Buffalo, NY). 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 Samad Hassan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samad Hassan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica, Oscar Insurance Company and UnitedHealthcare list Samad Hassan 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 Samad Hassan was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.