Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Casey S Prough, MD

Individual provider Psychiatry Physician · NPI 1396723706

Casey S Prough, MD is a Psychiatry in Lees Summit, Missouri. Graduated from Tulane University School of Medicine in 2006, 20 years ago. Practices with M a Mirza LLC, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
20
Trained at
Tulane University School of Medicine
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4045 NE Lakewood Way Ste 130
Lees Summit, MO 64064-1799
Phone: (816) 886-2184
Fax: (816) 886-2397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 2005016214 (MO)

Record details

NPI number1396723706
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 5, 2006
Last updated in NPPESSeptember 29, 2014
Mailing address4045 Ne Lakewood Way, Suite 130, Lees Summit, MO 64064-1799

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice M A Mirza Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lees Summit