Assad U. Shaffiey, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

115544 Issued in MO

Practice address

2925 Clinton Rd
Sedalia, MO 65301-7915

Phone

(660) 829-5852

Fax

(660) 829-5854

NPI assigned

Jun 10, 2006

Last updated

Jul 13, 2026By the provider in NPPES

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 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• TLC Pediatrics, PC

  • Primary Care Clinic/Center
  • Sedalia, MO
  • NPI 1578665451
  NPD (past) Authorized official
• Bothwell Regional Health Center

  • General Acute Care Hospital
  • Sedalia, MO
  • NPI 1235102690
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1710928593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CLINTON RD",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653017915",
            "telephone_number": "660-829-5852",
            "fax_number": "660-829-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 CLINTON RD",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653017915",
            "telephone_number": "660-829-5852",
            "fax_number": "660-829-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFIEY",
        "first_name": "ASSAD",
        "middle_name": "U.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "115544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1200057",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS CITY",
            "identifier": "25282044",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18833",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372430",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY",
            "identifier": "G85947",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "392869",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9518",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sedalia Wellness Center, LLC
• Amie Michelle Seitz, DNP, APRN, FNP-BC
• Select Physical Therapy Holdings Inc (Select Physical Therapy)
• Serc Rehabilitation Partners LLC (SERC - Sedalia, MO)
• Jennifer Sevier, BC PNP
• Jeffrey A Sharp, MD
• Nicole Marie Shy, OTR/L
• Kelsey Siegel, RDH
• Anthony S Sikoutris, DPM
• Jillian Colleen Simmons, DNP, APRN, CNM

• Pediatrics Physician in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.