Individual provider Active NPI

Tosin Femi Aileru

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1184484503
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11031612 Issued in FL
Practice address
1380 NW 199TH St
Miami, FL 33169-2740
Phone
(305) 610-9999
NPI assigned
Mar 21, 2024
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prestige Recovery and Suboxone Clinic LLC 5 clinicians
Converse Psychiatry LLC 3 clinicians

Practice addresses (Care Compare)

3800 W Broward Blvd
Suite 101
Fort Lauderdale, FL 33312-1018
Phone (954) 496-2681

4931 Camelot St
North Port, FL 34288-3321
Phone (941) 310-1300

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250305001906 FL Practitioner - Nurse Practitioner 6709307887 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11031612FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Converse Psychiatry LLC Psychiatric/Mental Health CurrentSince Dec 1, 2025 Accepting new patients
Mentally Free Psychiatry LLC Psychiatric/Mental Health CurrentSince Jan 28, 2025 Accepting new patients

Locations

255 Giralda Ave
Coral Gables, FL 33134
Phone (470) 944-5699

120 W Trinity Pl
Decatur, GA 30030
Phone (404) 720-0959

Interoperability endpoints

  • Direct secure messaging: mentallyfreepsychiatry.tosinaileru@160667.advancedmd-direct.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11031612 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

1380 NW 199TH St
Miami, FL 33169-2740

Mailing address

1380 NW 199TH St
Miami, FL 33169-2740
Phone (305) 610-9999

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 21, 2024.

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1184484503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 NW 199TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331692740",
            "telephone_number": "305-610-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 NW 199TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331692740",
            "telephone_number": "305-610-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AILERU",
        "first_name": "TOSIN",
        "middle_name": "FEMI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11031612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.