UROLOGY MEDICAL SPECIALISTS, PA
NPI 1164772935
Urology in Coconut Creek, FL

Active since September 19, 2012CLIA Certified · 3 labs
4515 WILES RD STE 201, COCONUT CREEK, FL 33073(954) 943-1133(954) 783-6845 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 21, 2023, Nov 5, 2022 (2 updates tracked since 2022).

About Urology Medical Specialists, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UROLOGY MEDICAL SPECIALISTS, PA (NPI 1164772935) is a healthcare organization registered as an urology in Coconut Creek, Florida and active in the NPI registry since September 2012. The organization holds 3 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Sanjeev K Gupta, President, as its authorized official.

NPPES Registry Identity

NPI1164772935
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameUROLOGY MEDICAL SPECIALISTS, PA
Location Address4515 WILES RD STE 201Coconut Creek, FL 33073-3414
Mailing Address5258 Linton Blvd Ste 203Delray Beach, FL 33484-6529 · (561) 495-7570 · Fax (561) 496-7074
Fax(954) 783-6845
Organization SubpartNo
Authorized OfficialSanjeev K GuptaPresident · (954) 943-1133
Enumeration DateSeptember 19, 2012
Last NPPES UpdateMarch 29, 20242 updates tracked since enumeration
NPPES CertifiedMarch 29, 2024
✔ NPI 1164772935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
4515 WILES RD STE 201, Coconut Creek, FL 33073

Secondary Practice Locations 2

Location 1601 E Sample Rd Ste 105Deerfield Beach, FL 33064-4443 · Phone (954) 943-1133 · Fax (954) 783-6845
Location 25258 Linton Blvd Ste 203Delray Beach, FL 33484-6529 · Phone (561) 495-7570 · Fax (561) 496-7074

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Urology Medical Specialists, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Urology Medical Specialists, PA, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner8
Urology7

Clinicians, nearest first (15)

Urology
NPI 1568818409
4515 WILES RD STE 201
Coconut Creek, FL 33073
(954) 943-1133
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1376156927
4515 WILES RD STE 201
Coconut Creek, FL 33073
(954) 943-1418
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1669886537
4515 WILES RD STE 201
Coconut Creek, FL 33073
(954) 943-1133
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1962897074
4515 WILES RD STE 201
Coconut Creek, FL 33073
(954) 943-1133
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1457560443
4515 WILES RD STE 201
Coconut Creek, FL 33073
(954) 943-1133
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1548046758
5261 W HILLSBORO BLVD APT 102
Coconut Creek, FL 33073
(954) 516-4655
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1356836167
601 E SAMPLE RD STE 105
Pompano Beach, FL 33064
(954) 943-1133
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1659116531
18037 MAMBO DR
Boca Raton, FL 33496
(191) 730-9633
✔ PECOS8.3 mi
Urology
NPI 1609807452
5258 LINTON BLVD SUITE 203
Delray Beach, FL 33484
(561) 495-7570
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1700385895
5258 LINTON BLVD STE 203
Delray Beach, FL 33484
(561) 495-7570
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1336810928
5461 SW 1ST ST
Plantation, FL 33317
(404) 860-5131
✔ PECOS✔ Accepts Medicare12 mi
Urology
NPI 1457663924
10341 NW 11TH CT
Plantation, FL 33322
(754) 217-7470
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1871303776
2723 COUNTRY LAKE TRL
Boynton Beach, FL 33436
(973) 570-4921
✔ PECOS16 mi
Nurse Practitioner
NPI 1194181800
10057 JOCKEY RD
Lake Worth, FL 33449
(786) 380-5124
✔ PECOS21 mi
Urology
NPI 1245283191
12411 BISCAYNE BLVD
North Miami, FL 33181
(305) 672-4222
✔ PECOS✔ Accepts Medicare27 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 10D2114488

Urology Medical Specialists PA · Delray Beach, FL
Active · expires Nov 25, 2026
CLIA Number10D2114488
Laboratory TypePhysician Office
Certificate Effective DateNovember 26, 2024
Certificate Expiration DateNovember 25, 2026
Laboratory DirectorDr. John J. Fortune
Laboratory Phone(954) 943-1133
Laboratory LocationUrology Medical Specialists PA5258 Linton Blvd Ste 203, Delray Beach, FL 33484
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 10D2292498

Urology Medical Specialists PA · Plantation, FL
Active · expires Oct 25, 2027
CLIA Number10D2292498
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorChristopher Lee Vendryes
Laboratory Phone(954) 943-1133
Laboratory LocationUrology Medical Specialists PA333 NW 70th Ave Unit 206, Plantation, FL 33317
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2290257

Urology Medical Specialists, PA · Fort Lauderdale, FL
Active · expires Sep 21, 2027
CLIA Number10D2290257
Laboratory TypePhysician Office
Certificate Effective DateSeptember 22, 2025
Certificate Expiration DateSeptember 21, 2027
Laboratory DirectorSanjeev K. Gupta
Laboratory Phone(954) 943-1133
Laboratory LocationUrology Medical Specialists, PA1930 NE 47th St, Ste 308, Fort Lauderdale, FL 33308
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Urology Medical Specialists, PA's NPI number?

The NPI number for Urology Medical Specialists, PA is 1164772935. It was assigned to this organization in the NPPES registry on September 19, 2012.

Where is Urology Medical Specialists, PA located?

Urology Medical Specialists, PA is located at 4515 Wiles Rd Ste 201, Coconut Creek, FL 33073. The listed phone number is (954) 943-1133.

What is Urology Medical Specialists, PA's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Urology Medical Specialists, PA enrolled in Medicare?

Yes. Urology Medical Specialists, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Urology Medical Specialists, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 2 Medicare specialties reassign their Medicare billing to Urology Medical Specialists, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (8) and Urology (7). Of these, 5 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Urology Medical Specialists, PA hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Urology Medical Specialists, PA accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 6 other insurers list Urology Medical Specialists, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Urology Medical Specialists, PA was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.