Active NPI
Ayman Odeh Mustafa
- Physician Assistant
- Miami, FL
National Provider Identifier
1629923008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9121454
- Practice address
- 737 SW 109TH Ave # 1510B
Miami, FL 33174-1339 - Phone
- (813) 409-0043
- NPI assigned
- Mar 2, 2026
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9121454 | FL | Primary |
Addresses
Primary practice location
737 SW 109TH Ave # 1510B
Miami, FL 33174-1339
Mailing address
464 SW 119TH Ave
Lakelnad, FL 33174-1339
Phone (813) 409-0043
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9121454 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1629923008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 SW 119TH AVE",
"city": "LAKELNAD",
"state": "FL",
"postal_code": "331741339",
"telephone_number": "813-409-0043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 SW 109TH AVE # 1510B",
"city": "MIAMI",
"state": "FL",
"postal_code": "331741339",
"telephone_number": "813-409-0043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSTAFA",
"first_name": "AYMAN",
"middle_name": "ODEH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-02",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9121454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.