AHMED A TARANISSI (MD) – Psychiatry Physician, NPI 1215978689

AHMED A TARANISSI (MD) is a healthcare provider. based in Mexico, Missouri. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. 2000165586 (MO). The NPI Number for AHMED A TARANISSI (MD) is 1215978689

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
AHMED A TARANISSI (MD)
NPI
1215978689
Phone
(573) 582-1234
Address
340 KELLEY PKWY
Enumeration Date
9 June 2006
Last Update Date
27 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5736152001
Graduation Year
1985 (41 years ago)
PAC ID
9537119169
Group Practice PAC ID
0446502652
Professional Enrollment ID
I20050131000905
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for AHMED A TARANISSI (MD)

  • Kelley Parkway, Mexico, Audrain County, Missouri, 65265, United States

    MEXICO, MO 652653811

    Phone: (573) 582-1234

    Fax: (573) 582-1212

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 492 Open Payments records for all available years, with a total value of $106,028.

Total Amount is formed as General ($106,028) + Research ($0) + Ownership ($0) = $106,028.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Alkermes, Inc. ($25,620).

Total Amount

$106,028

General + Research + Ownership

Payments

492

Total payment records

General Amount

$106,028

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050131000905IPsychiatryMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65265)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446502652View full group profile
NameSpecialtyState
Physician AssistantMO
Physician AssistantMO
Physician AssistantMO
-MO
Nurse PractitionerMO
Physician AssistantMO
Nurse PractitionerMO
Physician AssistantOK
-MO
P S Y C H I A T R YMO

Reviews

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Frequently asked questions

How is AHMED A TARANISSI (MD) identified in CMS data?
CMS-hosted NPPES data lists AHMED A TARANISSI (MD) with NPI 1215978689.
Does CMS list AHMED A TARANISSI (MD) as active?
Yes — AHMED A TARANISSI (MD) is active in the NPI listing used on this page.
What is AHMED A TARANISSI (MD)'s primary classification?
Psychiatry Physician is the headline specialty for AHMED A TARANISSI (MD) here. Clinical services aligned with this taxonomy classification.
Does AHMED A TARANISSI (MD) list a practice location?
Patients near Mexico, Missouri may find AHMED A TARANISSI (MD) in results; validate coverage separately.
Why does AHMED A TARANISSI (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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