SAMUEL O FADARE, MD, PA
SAMUEL O FADARE, MD, PA is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1639287824, based in Gladstone, MO. It is classified under Adult Mental Health Clinic/Center.
Getting there
The practice address on file is 5604 NE ANTIOCH RD, Gladstone, MO 64119. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 3072615525
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Missouri | O20070301000301 | Part B Supplier - Clinic/group Practice |
| Kansas | O20070313000546 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records across 2 states (MO, KS). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Adult Mental Health covers
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. NUCC Health Care Provider Taxonomy, code 261QM0850X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1639287824 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 28, 2006 |
| Last updated | Dec 8, 2020 |
| Status | Active |
| Practice address |
5604 NE ANTIOCH RD Gladstone, MO 64119 (660) 372-1313 Fax (660) 372-1339 |
| Mailing address |
1513 UNION AVE STE 2500 Moberly, MO 65270 |
| Other names |
Samuel O Fadare, Md, Pc Former Legal Name |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 3 | 9 | 2 | 8 | 7 | 8 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 6 | 9 | 4 | 8 | 5 | 8 | 4 |
Sum = 76 · next multiple of 10 = 80 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.