Individual provider Active NPI

Mostafa S Assadalla Sherazy, M.D.

  • Psychiatry Physician
  • Aventura, FL
National Provider Identifier
1255644118
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME159052 Issued in FL
Practice address
2999 NE 191St St
Aventura, FL 33180-3123
Phone
(786) 981-0640
Fax
(305) 677-8067
NPI assigned
Jul 21, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD61164093 WA
Psychiatry Physician 2084P0800X 161528 MT
Psychiatry Physician 2084P0800X 25IA12802800 NJ
Psychiatry Physician 2084P0800X C207854 CA
Psychiatry Physician 2084P0800X ME159052 FL Primary

Addresses

Primary practice location

2999 NE 191St St
Aventura, FL 33180-3123

Mailing address

2999 NE 191St St
Aventura, FL 33180-3123
Phone (786) 981-0640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230208000555 FL Practitioner - Psychiatry 0042446445 Reassigns benefits to 2 organizations
I20250401000767 TX Practitioner - Psychiatry 0042446445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Turnwell Mental Health of South Florida PAGroup PAC ID 4082101514, 2 clinicians

Practice addresses (Care Compare)

2999 NE 191St St
Suite 600
Aventura, FL 33180-3385
Phone (469) 290-3245

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME159052FLMDPsychiatry Physician
161528MTMDPsychiatry Physician
25IA12802800NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Turnwell Mental Health of Texas PLLC Psychiatry CurrentSince Mar 3, 2025 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Hni Medical Services of Florida, LLC Psychiatry CurrentSince Dec 1, 2022 Accepting new patients
Turnwell Mental Health of South Florida, PA Psychiatry CurrentSince Aug 26, 2025 Accepting new patients
District Medical Group, Inc Psychiatry Past Accepting new patients
Maricopa County Special Health Care District Past Accepting new patients
Banner Behavioral Health Hospital Past Accepting new patients

Locations

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

570 W Brown Rd
Mesa, AZ 85201
Phone (480) 344-2000

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

5102 W Campbell Ave
Phoenix, AZ 85031
Phone (623) 848-5000

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

2999 NE 191st St
Ste 600
Aventura, FL 33180
Phone (469) 290-3245

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

810 E Ralph Hall Pkwy
Ste 140
Rockwall, TX 75032
Phone (469) 502-4772

Interoperability endpoints

  • Direct secure messaging: massadallasherazy248595@direct.valleywisehealth.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1255644118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 NE 191ST ST",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803123",
            "telephone_number": "786-981-0640",
            "fax_number": "305-677-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 NE 191ST ST",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803123",
            "telephone_number": "786-981-0640",
            "fax_number": "305-677-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSADALLA SHERAZY",
        "first_name": "MOSTAFA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-21",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD61164093",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MT",
            "license": "161528",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25IA12802800",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C207854",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME159052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.