GULF COAST UROLOGY
NPI 1255741880
Urology in Port Charlotte, FL

Q: What is Genesiscare Usa Of Florida LLC's NPI number?

The NPI number for Genesiscare Usa Of Florida LLC is 1255741880. It was assigned to this organization in the NPPES registry on May 5, 2014. The provider is doing business as Gulf Coast Urology.

Q: What is Genesiscare Usa Of Florida LLC's specialty?

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

Active since May 05, 2014

21260 OLEAN BLVD, SUITE 202A, PORT CHARLOTTE, FL 33952(941) 625-1550(941) 255-0794 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2023, Jun 22, 2023, Aug 24, 2020 and 1 more (4 updates tracked since 2019).

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About Gulf Coast Urology NPPES

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

GULF COAST UROLOGY (NPI 1255741880) is a healthcare organization registered as an urology in Port Charlotte, Florida and active in the NPI registry since May 2014. The organization lists Shaden Marzouk, President, as its authorized official.

NPPES Registry Identity

NPI1255741880

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameGENESISCARE USA OF FLORIDA LLC

Location Address21260 OLEAN BLVD, SUITE 202APort Charlotte, FL 33952-6742

Mailing Address1419 Se 8th Ter Ste 200Cape Coral, FL 33990-3213 · (239) 931-7342 · Fax (239) 931-7385

Phone(941) 625-1550

Fax(941) 255-0794

Organization SubpartYesParent: Genesiscare Usa Inc

Authorized OfficialShaden MarzoukPresident · (239) 931-7254

Enumeration DateMay 5, 2014

Last NPPES UpdateOctober 5, 20234 updates tracked since enumeration

NPPES CertifiedOctober 5, 2023

✔ NPI 1255741880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

21260 OLEAN BLVD, Port Charlotte, FL 33952

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Other Names 1

Doing Business AsGulf Coast Urology

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Wellpoint.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)

Gulf Coast Urology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

282

Medicare enrollment records show 282 clinicians reassign Medicare billing to Gulf Coast Urology, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Urology86

Nurse Practitioner56

Radiation Oncology53

Hematology/Oncology18

General Surgery17

Medical Oncology14

Otolaryngology7

Surgical Oncology5

11 other specialties26

Nearest to this location (20)

See all 282

Kenneth Bliss

Nurse Practitioner

NPI 1952077117

21260 OLEAN BLVD STE 202A
Port Charlotte, FL 33952

(941) 625-1550

✔ PECOS✔ Accepts MedicareSame address

My-Lien Truong, MD

Radiation Oncology

NPI 1952821829

3080 HARBOR BLVD
Port Charlotte, FL 33952

(941) 883-2199

✔ PECOS✔ Accepts Medicare0.2 mi

Crystal Smedley

Urology

NPI 1720469596

2400 HARBOR BLVD STE 21
Port Charlotte, FL 33952

(941) 625-6992

✔ PECOS✔ Accepts Medicare0.3 mi

Andrew Weitzel, D.O.

Urology

NPI 1811916950

3161 HARBOR BLVD UNIT D
Pt Charlotte, FL 33952

(941) 625-1550

✔ PECOS0.3 mi

Timothy Kinsella, MD

Radiation Oncology

NPI 1699709139

3175 HARBOR BLVD
Port Charlotte, FL 33952

(941) 627-6465

✔ PECOS0.4 mi

Marc Melser, MD

Urology

NPI 1063480085

3410 TAMIAMI TRL SUITE 4
Port Charlotte, FL 33952

(941) 235-7281

✔ PECOS✔ Accepts Medicare0.5 mi

Matthew Bagan, D.O.

General Surgery

NPI 1407819295

18308 MURDOCK CIR UNIT 105
Port Charlotte, FL 33948

(941) 743-4150

✔ PECOS✔ Accepts Medicare3.0 mi

Thomas Ruane, M.D.

Urology

NPI 1730189218

842 SUNSET LAKE BLVD SUITE 403
Venice, FL 34292

(941) 485-3351

✔ PECOS✔ Accepts Medicare19 mi

Yaimy Alonso, ARNP

Nurse Practitioner

NPI 1548808744

842 SUNSET LAKE BLVD STE 403 BUILDING B
Venice, FL 34292

(941) 485-3351

✔ PECOS✔ Accepts Medicare19 mi

Erin Stesprit, APRN, FNP-C

Nurse Practitioner

NPI 1760141030

842 SUNSET LAKE BLVD STE 403
Venice, FL 34292

(941) 485-3351

✔ PECOS✔ Accepts Medicare19 mi

Gregory Lomas, MD

Urology

NPI 1508967761

842 SUNSET LAKE BLVD SUITE 403, BLDG. B
Venice, FL 34292

(941) 485-3351

✔ PECOS✔ Accepts Medicare19 mi

Beth Taylor

Nurse Practitioner

NPI 1023582921

1 S SCHOOL AVE STE 200
Sarasota, FL 34237

(941) 309-7000

✔ PECOS✔ Accepts Medicare23 mi

Grace Berry, AU.D.

Qualified Audiologist

NPI 1588859508

16251 N CLEVELAND AVE STE 4
North Fort Myers, FL 33903

(239) 666-2910

23 mi

Jacob Benedict, M.D.

Otolaryngology

NPI 1487185567

24 DEL PRADO BLVD N
Cape Coral, FL 33909

(239) 939-1002

✔ PECOS✔ Accepts Medicare25 mi

Constantine Mantz, MD

Radiation Oncology

NPI 1396743290

1419 SE 8TH TER
Cape Coral, FL 33990

(239) 772-3202

✔ PECOS✔ Accepts Medicare26 mi

Miriam Zolfoghary, MD

General Surgery

NPI 1821251893

1206 COUNTRY CLUB BLVD
Cape Coral, FL 33990

(239) 574-7454

✔ PECOS✔ Accepts Medicare26 mi

George Kalemeris, MD

Pathology

NPI 1407835234

1620 MEDICAL LN SUITE 100
Ft Myers, FL 33907

(239) 275-1164

✔ PECOS30 mi

Bethany Loppnow, ARNP, FNP-C

Nurse Practitioner

NPI 1538770235

2675 WINKLER AVE
Fort Myers, FL 33901

(844) 674-4677

✔ PECOS✔ Accepts Medicare30 mi

Eric Pachter, MD

Urology

NPI 1922068436

2234 COLONIAL BLVD ATTN: PAYER CONTRACTING & RELATIONS
Fort Myers, FL 33907

(239) 931-7342

✔ PECOS✔ Accepts Medicare31 mi

Aaron Bilovecky, M.A, CCC-A

Qualified Audiologist

NPI 1598914715

39 BARKLEY CIR
Fort Myers, FL 33907

(239) 936-1616

✔ Accepts Medicare31 mi

See all 282 clinicians

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

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 Genesiscare Usa Of Florida LLC's NPI number?

The NPI number for Genesiscare Usa Of Florida LLC is 1255741880. It was assigned to this organization in the NPPES registry on May 5, 2014. The provider is doing business as Gulf Coast Urology.

Where is Genesiscare Usa Of Florida LLC located?

Genesiscare Usa Of Florida LLC is located at 21260 Olean Blvd Suite 202A, Port Charlotte, FL 33952. The listed phone number is (941) 625-1550.

What is Genesiscare Usa Of Florida LLC's specialty?

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

Is Genesiscare Usa Of Florida LLC enrolled in Medicare?

Yes. Genesiscare Usa Of Florida LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Genesiscare Usa Of Florida LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 282 clinicians in 19 Medicare specialties reassign their Medicare billing to Genesiscare Usa Of Florida LLC. 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 Urology (86), Nurse Practitioner (56) and Radiation Oncology (53). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Genesiscare Usa Of Florida LLC accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and Wellpoint list Genesiscare Usa Of Florida LLC 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 Genesiscare Usa Of Florida LLC was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.