Active NPI
Shahid S Insaf, MD
- Psychiatry Physician
- Branson, MO
National Provider Identifier
1174666044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2005034472
- Practice address
- 500 W. Main Street
Suite 400
Branson, MO 65616-2201 - Phone
- (417) 243-7777
- Fax
- (417) 243-7778
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2005034472 | MO | Primary |
Addresses
Primary practice location
500 W. Main Street
Suite 400
Branson, MO 65616-2201
Mailing address
3142 W. Remington CT
Springfield, MO 65810-2580
Phone (417) 243-7777
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207592304 | Medicaid | MO | |
| 203025 | Other | MO | MO BLUE SHIELD |
| 160533001 | Medicaid | AR | |
| 83726 | Other | AR | ARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 9, 2016 through Mar 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emologic Clinic, LLC | Psychiatry | Current | Accepting new patients |
| Compass Behavioral Health | Past | Accepting new patients | |
| Fortitude Intensive Outpatient Program LLC | Past | Accepting new patients |
Locations
500 W Main St
Ste 204
Branson, MO 65616
Phone (417) 243-7777
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Branson, MO
- NPI 1528400173
-
- Adult Mental Health Clinic/Center
- Branson, MO
- NPI 1902262991
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Garden City, KS
- NPI 1922058510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257120000000",
"number": "1174666044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3142 W. REMINGTON CT",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658102580",
"telephone_number": "417-243-7777",
"fax_number": "417-243-7778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W. MAIN STREET",
"address_2": "SUITE 400",
"city": "BRANSON",
"state": "MO",
"postal_code": "656162201",
"telephone_number": "417-243-7777",
"fax_number": "417-243-7778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INSAF",
"first_name": "SHAHID",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2009-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2005034472",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207592304",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO BLUE SHIELD",
"identifier": "203025",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160533001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARK BLUE SHIELD",
"identifier": "83726",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.