Active NPI
Russell Frank Sassani, MD
- Plastic Surgery Physician
- Plantation, FL
National Provider Identifier
1194788026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME0066612
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0066612 | FL | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Take Shape Plastic Surgery PA | Plastic Surgery | Current | Accepting new patients |
Locations
4161 NW 5th St
Ste 100
Plantation, FL 33317
Phone (954) 324-2329
Interoperability endpoints
- 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.
-
- Plastic Surgery Physician
- Plantation, FL
- NPI 1972609816
-
- Plastic Surgery Physician
- Plantation, FL
- NPI 1497704985
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
- Sardonyx Group Therapy Inc (Children's World Therapy)
- Aichel Sarduy Perez
- Sarine M. Salama, LMHC Inc. (Serenity Counseling Solutions)
- Tania Tusharkanti Sarker, M.D.
- Glenda Sarli
- Alexander Vincent Sasso, DO
- Shirine H. Sateei, PSY.D.
- Satya P Singh MD PA
- Saving Lives Counseling Center
- Stephanie Savo-Smellie, LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.