Mehrunissa Ali, MD
Individual provider Active NPI Psychiatry Physician · Warrensburg, MO
NPI 1730165341 · NPPES record last updated Apr 22, 2019
Key facts
- NPI
- 1730165341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 108420 (MO)
- Practice address
- 616 Burkarth Rd
Warrensburg, MO 64093-1462 - Phone
- (888) 403-1071
- NPI assigned
- Dec 16, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050411000971 | MO | Practitioner - Psychiatry | 5890732929 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108420 | MO | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Current |
Accepting new patients | |
| Compass Health, Inc | Current |
Accepting new patients |
Locations
1800 Community
#B
Clinton, MO 64735
1800 Community
Clinton, MO 64735
Phone (660) 885-8131
860 Lynn St
Lebanon, MO 65536
Phone (417) 334-8337
1278 W US Highway 40
Odessa, MO 64076
Phone (816) 633-5921
616 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 747-7127
307 N Main St
Windsor, MO 65360
Phone (660) 647-2182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 108420 | MO | Yes |
Addresses
Primary practice location
616 Burkarth Rd
Warrensburg, MO 64093-1462
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131
Other practice location 1
1278 W US Highway 40
Odessa, MO 64076-9612
Phone (888) 403-1071
Other practice location 2
1800 Community
Clinton, MO 64735-8804
Phone (888) 403-1071
Other practice location 3
860 Lynn St
Lebanon, MO 65536-3810
Phone (888) 403-1071
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204666705 | Medicaid | MO |
Other providers in Warrensburg, MO
- Abilities LLC
- Abilities LLC
- Abilities LLC
- Delaney Adams
- Jacquelyn Lorraine Addington
- Allergy & Asthma Consultants of the Ozarks LTD.
- Allergy and Asthma Consultants of the Ozarks, LTD
- Joshua Tyler Allman
- Ashley L Alumbaugh
- Amberstone Chiropractic and Wellness, LLC
All providers in Warrensburg, MO · Psychiatry Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.