Individual provider Active NPI

Morteza Mashkouri, M.D.

  • Family Medicine Physician
  • Casselberry, FL
National Provider Identifier
1023094489
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME48026 Issued in FL
Practice address
946 State Road 436
Casselberry, FL 32707-5633
Phone
(407) 831-3141
Fax
(407) 831-7873
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME48026 FL Primary

Addresses

Primary practice location

946 State Road 436
Casselberry, FL 32707-5633

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Other identifiers 1

IdentifierTypeStateIssuer
265072000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address morteza.mashkouri.1@29601.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040624000617 FL Practitioner - Family Practice 9234115049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

255 N Lakemont Ave
Suite 101
Winter Park, FL 32792-3210
Phone (407) 647-6070

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Orlando, FL, CCN 107234
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (FL) Inc. Family Medicine Current Accepting new patients
Centerwell Senior Primary Care FL Inc Family Medicine Current Accepting new patients
Centerwell Senior Primary Care (FL) Inc. Family Medicine Current Accepting new patients
Centerwell Senior Primary Care (FL) Inc. Family Medicine CurrentSince Jul 22, 2002 Accepting new patients
Centerwell Senior Primary Care (FL) Inc. Family Medicine CurrentSince Jul 22, 2002 Accepting new patients
Centerwell Senior Primary Care FL Inc Family Medicine PastSince Jul 22, 2002 Accepting new patients

Locations

360 Douglas Ave
Altamonte Springs, FL 32714
Phone (407) 788-8200

1049 W Orange Blossom Trl
Apopka, FL 32712
Phone (407) 884-2952

946 State Road 436
Casselberry, FL 32707
Phone (407) 831-3141

2577 Simpson Rd
Kissimmee, FL 34744
Phone (407) 348-8338

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

4401 S Orange Ave
Ste 118
Orlando, FL 32806
Phone (407) 849-9621

6320 Old Winter Garden Rd
Orlando, FL 32835
Phone (407) 253-3535

5997 S Goldenrod Rd
Orlando, FL 32822
Phone (407) 241-8957

255 N Lakemont Ave
Ste 101
Winter Park, FL 32792
Phone (407) 647-6070

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: morteza.mashkouri.1@29601.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1023094489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 STATE ROAD 436",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075633",
            "telephone_number": "407-831-3141",
            "fax_number": "407-831-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHKOURI",
        "first_name": "MORTEZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME48026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265072000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "morteza.mashkouri.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "946 State Road 436",
            "city": "Casselberry",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327075633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

Verify at the official NPI Registry.