Active NPI
Mostafa S Assadalla Sherazy, M.D.
- Psychiatry Physician
- Aventura, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME159052
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME159052 | FL | MD | Psychiatry Physician |
| 161528 | MT | MD | Psychiatry Physician |
| 25IA12802800 | NJ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| Turnwell Mental Health of Texas PLLC | Psychiatry | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| Hni Medical Services of Florida, LLC | Psychiatry | Current | Accepting new patients |
| Turnwell Mental Health of South Florida, PA | Psychiatry | Current | 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
- 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.
-
- Psychiatry Physician
- Aventura, FL
- NPI 1356148043
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1679048284
Psychiatry
-
- Psychiatry Physician
- Rockwall, TX
- NPI 1992571699
-
- Multi-Specialty Clinic/Center
- San Tan Valley, AZ
- NPI 1275889891
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Psychiatric Hospital
- Scottsdale, AZ
- NPI 1942319199
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1073576740
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.