Individual provider Active NPI

Ahsan Syed, M.D.

  • Psychiatry Physician
  • Mexico, MO
National Provider Identifier
1003970849
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
106575 Issued in MO
Practice address
321 W Promenade St
Mexico, MO 65265-2719
Phone
(573) 582-1234
Fax
(573) 582-1212
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X R4498 AR
Psychiatry Physician 2084P0800X MD00030874 WA
Psychiatry Physician 2084P0800X 106575 MO Primary

Addresses

Primary practice location

321 W Promenade St
Mexico, MO 65265-2719

Mailing address

321 W Promenade St
Mexico, MO 65265-2719
Phone (573) 582-1234

Other practice location 1

1000 W Nifong Blvd Bldg 6
Columbia, MO 65203-5615
Phone (888) 403-1071

Other identifiers 1

IdentifierTypeStateIssuer
1003970849MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081107000744 MO Practitioner - Psychiatry 5890854681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of MissouriGroup PAC ID 1456254226, 48 clinicians

Practice addresses (Care Compare)

600 E 5TH St
Fulton State Hospital
Fulton, MO 65251-1793
Phone (573) 592-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R4498ARMDPsychiatry Physician
106575MOMDPsychiatry Physician
MD00030874WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Missouri Psychiatry CurrentSince May 20, 2022 Accepting new patients
State of Missouri Psychiatry CurrentSince May 20, 2022 Accepting new patients
Compass Health, Inc CurrentSince May 31, 2021 Accepting new patients
Compass Health, Inc CurrentSince May 31, 2021 Accepting new patients

Locations

1800 Community
#B
Clinton, MO 64735

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

1000 W Nifong Blvd
Bldg 6
Columbia, MO 65203
Phone (573) 443-7755

3 Hospital Dr
Columbia, MO 65201
Phone (573) 882-8913

600 E 5th St
Fulton, MO 65251
Phone (573) 592-2623

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1003970849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W PROMENADE ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652719",
            "telephone_number": "573-582-1234",
            "fax_number": "573-582-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W PROMENADE ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652719",
            "telephone_number": "573-582-1234",
            "fax_number": "573-582-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Nifong Blvd Bldg 6",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652035615",
            "country_code": "US",
            "telephone_number": "888-403-1071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYED",
        "first_name": "AHSAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "R4498",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00030874",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "106575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003970849",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mexico, MO

Sources for this page

Verify at the official NPI Registry.