Active NPI
Matthew Pourani, PA
- Surgical Physician Assistant
- Miami, FL
National Provider Identifier
1811268469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 9102508
- Practice address
- 909 W 47TH St
Miami, FL 33140-2904 - Phone
- (786) 355-5966
- NPI assigned
- Jan 13, 2012
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 9102508 | FL | Primary |
Addresses
Primary practice location
909 W 47TH St
Miami, FL 33140-2904
Mailing address
960 W 41St St Ste 214
Miami Beach, FL 33140-3349
Phone (305) 482-1415
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9102508 | FL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diamond Med Spa | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients |
Locations
960 W 41st St
Ste 214
Miami Beach, FL 33140
Phone (305) 482-1415
1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Vero Beach, FL
- NPI 1710933031
-
- Clinic/Center
- Miami Beach, FL
- NPI 1902696388
-
- Family Medicine Physician
- Sebastian, FL
- NPI 1700173010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746921600000",
"number": "1811268469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 W 41ST ST STE 214",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331403349",
"telephone_number": "305-482-1415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 W 47TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331402904",
"telephone_number": "786-355-5966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POURANI",
"first_name": "MATTHEW",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-13",
"last_updated": "2025-05-11",
"certification_date": "2025-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "9102508",
"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 May 11, 2025; 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.