Individual provider Active NPI

Mohammad Yousuf, M.D

  • Psychiatry Physician
  • Jefferson City, MO
National Provider Identifier
1942571476
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2015031215 Issued in MO
Practice address
227 Metro Dr
Jefferson City, MO 65109-1134
Phone
(888) 403-1071
NPI assigned
Jan 13, 2012
Last updated
Dec 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2015031215 MO Primary

Addresses

Primary practice location

227 Metro Dr
Jefferson City, MO 65109-1134

Mailing address

1800 Community
Clinton, MO 64735-8804
Phone (660) 890-8131

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
I20170112001889 MO Practitioner - Psychiatry 9234411943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Health Center of Boone CountyGroup PAC ID 0345231478, 37 clinicians
Compass Health IncGroup PAC ID 1951206754, 317 clinicians
State of MissouriGroup PAC ID 1456254226, 48 clinicians

Practice addresses (Care Compare)

1001 W Worley St
Columbia, MO 65203-2037

307 N Main St
Windsor, MO 65360-1449
Phone (888) 403-1071

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
2015031215MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Missouri Psychiatry CurrentSince Dec 5, 2017 Accepting new patients
Compass Health, Inc CurrentSince Jan 3, 2017 Accepting new patients
State of Missouri Psychiatry CurrentSince Dec 5, 2017 Accepting new patients
Compass Health, Inc CurrentSince Jan 3, 2017 Accepting new patients

Locations

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

1800 Community
#B
Clinton, MO 64735

3501 Berrywood Dr
Columbia, MO 65201
Phone (573) 874-2851

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

227 Metro Dr
Jefferson Cty, MO 65109
Phone (573) 634-3000

320 Mac Blvd
Nevada, MO 64772
Phone (417) 667-2262

307 N Main St
Windsor, MO 65360
Phone (660) 647-2182

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1942571476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "660-890-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 METRO DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651091134",
            "telephone_number": "888-403-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSUF",
        "first_name": "MOHAMMAD",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-13",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2015031215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

Verify at the official NPI Registry.