Individual provider Active NPI

Michael Massari, MD

  • Urology Physician
  • Wimauma, FL
National Provider Identifier
1790309011
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME171732 Issued in FL
Practice address
16513 S US Highway 301
Wimauma, FL 33598-2032
Phone
(813) 356-0196
Fax
(813) 356-0197
NPI assigned
Jun 2, 2020
Last updated
Feb 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME171732 FL Primary

Addresses

Primary practice location

16513 S US Highway 301
Wimauma, FL 33598-2032

Mailing address

5015 W Nassau St
Tampa, FL 33607-3814
Phone (813) 356-0196

Other practice location 1

1142 Bell Shoals Rd
Brandon, FL 33511-8909
Phone (813) 356-0196 ext. 1042

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
I20250710001192 FL Practitioner - Urology 9830509918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Urology Partners LLPGroup PAC ID 2062574924, 66 clinicians

Practice addresses (Care Compare)

16513 S US Hwy 301
Wimauma, FL 33598-2032
Phone (813) 634-9231

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME171732FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Urology Partners, LLP Urology CurrentSince Aug 11, 2025 Accepting new patients
Florida Urology Partners LLP PastSince Nov 17, 2019 Accepting new patients
Tampa General Provider Network Inc Urology PastSince Jun 1, 2022 Accepting new patients

Locations

1142 Bell Shoals Rd
Brandon, FL 33511
Phone (813) 685-0827

5015 W Nassau St
Tampa, FL 33607
Phone (813) 356-0196

12408 N 56th St
Ste 1
Temple Terrace, FL 33617
Phone (813) 980-3104

16513 S US Highway 301
Wimauma, FL 33598
Phone (813) 634-9231

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1790309011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 W NASSAU ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336073814",
            "telephone_number": "813-356-0196",
            "fax_number": "813-356-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16513 S US HIGHWAY 301",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335982032",
            "telephone_number": "813-356-0196",
            "fax_number": "813-356-0197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1142 Bell Shoals Rd",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335118909",
            "country_code": "US",
            "telephone_number": "813-356-0196 x1042",
            "fax_number": "813-356-0197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSARI",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-02",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME171732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wimauma, FL

Sources for this page

Verify at the official NPI Registry.