Individual provider Active NPI

Samuel M Temesgen, M.D.

  • Psychiatry Physician
  • Sedalia, MO
National Provider Identifier
1972891455
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2015003086 Issued in MO
Practice address
201 W 3Rd St
Sedalia, MO 65301-4352
Phone
(660) 827-2494
NPI assigned
Jul 18, 2011
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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 2015003086 MO Primary

Addresses

Primary practice location

201 W 3Rd St
Sedalia, MO 65301-4352

Mailing address

2885 W Battlefield St
Springfield, MO 65807-3952
Phone (417) 761-5000

Other practice location 1

210 W Williams St, Unit C
Moberly, MO 65270
Phone (660) 263-7651

Other practice location 2

1021 W Buchanan St Ste 6
California, MO 65018-1238
Phone (573) 777-7501

Other practice location 3

3401 Berrywood Dr
Columbia, MO 65201-8372
Phone (573) 777-8330

Other practice location 4

4806 Castlewood Ct
Columbia, MO 65203-0299
Phone (417) 269-6891

Other practice location 5

520 Ryan St Ste W
Boonville, MO 65233-1894
Phone (660) 882-7573

Other identifiers 2

IdentifierTypeStateIssuer
13709871OtherCAQH
200022821MedicaidMO

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
I20150819008760 MO Practitioner - Psychiatry 2264747211 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lester E Cox Medical CentersGroup PAC ID 1254248917, 336 clinicians
Burrell IncGroup PAC ID 4486548625, 217 clinicians

Practice addresses (Care Compare)

1423 N Jefferson Ave
Springfield, MO 65802-1917
Phone (417) 269-3000

3401 Berrywood Dr
Columbia, MO 65201-6515
Phone (573) 777-8300

3800 S National Ave
Suite Ll100
Springfield, MO 65807-5276
Phone (417) 269-7784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2015003086MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Nov 24, 2025 Accepting new patients
John Fitzgibbon Memorial Hospital Inc Current Accepting new patients
HCC Network Current Accepting new patients
Skaggs Community Hospital Association Psychiatry CurrentSince Nov 24, 2025 Accepting new patients
Burrell, Inc. CurrentSince Jun 27, 2015 Accepting new patients
Burrell, Inc. CurrentSince Jun 27, 2015 Accepting new patients
John Fitzgibbon Memorial Hospital Inc Psychiatry CurrentSince May 1, 2022 Accepting new patients
Skaggs Community Hospital Association CurrentSince Nov 24, 2025 Accepting new patients
John Fitzgibbon Memorial Hospital, Inc. Current Accepting new patients
Lester E. Cox Medical Centers Current Accepting new patients
John Fitzgibbon Memorial Hospital Inc. CurrentSince May 1, 2022 Accepting new patients
Lester E. Cox Medical Centers Psychiatry CurrentSince Nov 24, 2025 Accepting new patients
HCC Network CurrentSince Feb 3, 2025 Accepting new patients
Skaggs Community Hospital Association Current Accepting new patients
HCC Network CurrentSince Feb 3, 2025 Accepting new patients
HCC Network Past Accepting new patients

Locations

520 Ryan St
Ste W
Boonville, MO 65233
Phone (660) 882-7573

1021 W Buchanan St
Ste 6
California, MO 65018
Phone (573) 777-7501

718 Harvest Hills Dr
Carrollton, MO 64633

1805 E Walnut St
Columbia, MO 65201
Phone (573) 777-7500

3401 Berrywood Dr
Columbia, MO 65201
Phone (573) 777-7530

206 N Bismark St
Ste A
Concordia, MO 64020
Phone (660) 463-0234

4231 S Hocker Dr
Independence, MO 64055
Phone (816) 836-6706

811 S Business Highway 13
Ste A
Lexington, MO 64067
Phone (660) 259-3823

819 S Business Highway 13
Lexington, MO 64067
Phone (660) 251-8420

2305 S Highway 65
Marshall, MO 65340
Phone (660) 831-3730

2305 S Highway 65
Bldg A
Marshall, MO 65340
Phone (660) 886-7800

210 N Williams St
Unit C
Moberly, MO 65270
Phone (660) 263-7651

201 W 3rd St
Sedalia, MO 65301
Phone (660) 827-2494

1300 E Bradford Pkwy
Springfield, MO 65804
Phone (417) 269-5400

1300 E Bradford Pkwy
#H
Springfield, MO 65804

2885 W Battlefield St
Springfield, MO 65807
Phone (417) 761-5800

3800 S National Ave
Ste LL100
Springfield, MO 65807
Phone (417) 269-7784

608 Missouri St
Waverly, MO 64096
Phone (660) 493-2262

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGBBCA

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1972891455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 W BATTLEFIELD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658073952",
            "telephone_number": "417-761-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W 3RD ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653014352",
            "telephone_number": "660-827-2494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 W Williams St, Unit C",
            "address_purpose": "LOCATION",
            "city": "Moberly",
            "state": "MO",
            "postal_code": "65270",
            "country_code": "US",
            "telephone_number": "660-263-7651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1021 W Buchanan St Ste 6",
            "address_purpose": "LOCATION",
            "city": "California",
            "state": "MO",
            "postal_code": "650181238",
            "country_code": "US",
            "telephone_number": "573-777-7501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 Berrywood Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652018372",
            "country_code": "US",
            "telephone_number": "573-777-8330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4806 Castlewood Ct",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652030299",
            "country_code": "US",
            "telephone_number": "417-269-6891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 Ryan St Ste W",
            "address_purpose": "LOCATION",
            "city": "Boonville",
            "state": "MO",
            "postal_code": "652331894",
            "country_code": "US",
            "telephone_number": "660-882-7573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEMESGEN",
        "first_name": "SAMUEL",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-18",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2015003086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13709871",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200022821",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedalia, MO

Sources for this page

Verify at the official NPI Registry.