Individual provider Active NPI

Russell Frank Sassani, MD

  • Plastic Surgery Physician
  • Plantation, FL
National Provider Identifier
1194788026
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME0066612 Issued in FL
Practice address
4161 NW 5TH St
Suite 100
Plantation, FL 33317
Phone
(954) 585-3800
Fax
(954) 585-6100
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME0066612 FL Primary

Addresses

Primary practice location

4161 NW 5TH St
Suite 100
Plantation, FL 33317

Mailing address

4161 NW 5TH St
Suite 100
Plantation, FL 33317
Phone (954) 585-3800

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
I20040930000282 FL Practitioner - Plastic and Reconstructive Surgery 3971572926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Rutgers New Jersey Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4161 NW 5TH St
Suite 100
Plantation, FL 33317-2101
Phone (954) 585-3800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0066612FLMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Take Shape Plastic Surgery PA Plastic Surgery CurrentSince Apr 1, 2004 Accepting new patients

Locations

4161 NW 5th St
Ste 100
Plantation, FL 33317
Phone (954) 324-2329

Interoperability endpoints

  • Direct secure messaging: drsassani@takeshape.direct.emds.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194788026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 NW 5TH ST",
            "address_2": "SUITE 100",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33317",
            "telephone_number": "954-585-3800",
            "fax_number": "954-585-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 NW 5TH ST",
            "address_2": "SUITE 100",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33317",
            "telephone_number": "954-585-3800",
            "fax_number": "954-585-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASSANI",
        "first_name": "RUSSELL",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME0066612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.