Samuel O Fadare, MD, PA
NPI 1639287824 · Adult Mental Health Clinic/Center · Gladstone, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samuel O Fadare, MD, PA is a Adult Mental Health Clinic/Center organization in Gladstone, MO (NPI 1639287824).
Provider details
- NPI number
- 1639287824
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Fadare, Owner(816) 225-6735
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Samuel O Fadare, MD, PC
- Doing business as
- Samuel O Fadare, MD, PC
Registry dates
- Enumerated
- 2006-08-28
- Last updated
- 2020-12-08
- Certified
- 2020-12-08
Frequently asked questions
- What is Samuel O Fadare, MD, PA's NPI number?
- Samuel O Fadare, MD, PA's National Provider Identifier (NPI) is 1639287824, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Samuel O Fadare, MD, PA?
- Samuel O Fadare, MD, PA is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Samuel O Fadare, MD, PA located?
- Samuel O Fadare, MD, PA's practice location on file with NPPES is 5604 Ne Antioch Rd, Gladstone, MO 64119-2327.
- What is Samuel O Fadare, MD, PA's phone number?
- The practice phone number listed in the NPPES registry for Samuel O Fadare, MD, PA is (660) 372-1313.
- Does Samuel O Fadare, MD, PA accept Medicare?
- Samuel O Fadare, MD, PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Samuel O Fadare, MD, PA?
- The authorized official listed on Samuel O Fadare, MD, PA's NPPES record is Samuel Fadare, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Samuel O Fadare, MD, PA's NPI active?
- Yes — Samuel O Fadare, MD, PA's NPI (1639287824) is active in the NPPES registry as of the last update on 2020-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.