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

Q: 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.

Q: 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.

Q: 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 20 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.

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: August 09, 2026.

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

On this page

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, is affiliated with Erie County Medical Center, and maintains 3 additional practice locations.

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

Phone(888) 403-1071

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Medica, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Erie County Medical Center

Acute Care Hospitals · Buffalo, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330219

Location462 Grider StreetBuffalo, NY 14215 · Erie County

Emergency services

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.

REGIONAL HEALTH CARE CLINIC INC

Clinic/Center (Federally Qualified Health Center (FQHC))