Casey S Prough, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2005016214 Issued in MO

Practice address

4045 NE Lakewood Way
Suite 130
Lees Summit, MO 64064-1799

Phone

(816) 886-2184

Fax

(816) 886-2397

NPI assigned

Jan 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

Tulane University School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

M a Mirza LLCGroup PAC ID 4284865056, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: whiteoakpsychiatricservices.caseyprough@133176.advancedmd-direct.com

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.

• M a Mirza, LLC

  • Prescribing (Medical) Psychologist
  • Lees Summit, MO
  • NPI 1376757617
  Medicare reassignment Care Compare group
• Pike County Memorial Hospital

  • Critical Access Hospital
  • Louisiana, MO
  • NPI 1205837218
  Medicare reassignment NPD
• Pike County Memorial Hospital

  • Rural Health Clinic/Center
  • Bowling Green, MO
  • NPI 1134633456
  NPD
• Pike County Memorial Hospital

  • Critical Access Hospital
  • Louisiana, MO
  • NPI 1346464450
  NPD

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1396723706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 NE LAKEWOOD WAY",
            "address_2": "SUITE 130",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641799",
            "telephone_number": "816-886-2184",
            "fax_number": "816-886-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 NE LAKEWOOD WAY",
            "address_2": "SUITE 130",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641799",
            "telephone_number": "816-886-2184",
            "fax_number": "816-886-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROUGH",
        "first_name": "CASEY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2005016214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396723706",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Primary Care Plus, LLC
• Prime Physical Therapy
• Professional Consulting & Coaching LLC
• Prolific Physical Therapy LLC
• Emily Prosser
• Steven J Prstojevich, MD DDS
• Abigail Prudden, AUD
• Rochelle Kaye Pruett, M.A., PLPC, NCC
• Deborah Pryde, PFT, MPT
• Grace C Przekurat, FNP

• Psychiatry Physician in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.