COASTAL UROLOGY P A
NPI 1396853941
Urology in Destin, FL

Active since August 25, 2006
4012 COMMONS DR W, SUITE 100, DESTIN, FL 32541(850) 837-0442(850) 837-1051 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Coastal Urology P A NPPES

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

COASTAL UROLOGY P A (NPI 1396853941) is a healthcare organization registered as an urology in Destin, Florida and active in the NPI registry since August 2006. The organization lists Debbie Thuy Nguyen, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1396853941
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameCOASTAL UROLOGY P A
Location Address4012 COMMONS DR W, SUITE 100Destin, FL 32541-8422
Mailing AddressPo Box 936Shalimar, FL 32579-0936 · (850) 837-0442 · Fax (850) 837-1051
Fax(850) 837-1051
Organization SubpartNo
Authorized OfficialDebbie Thuy NguyenOffice Manager · (850) 837-0442
Enumeration DateAugust 25, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1396853941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in FL · ME72919
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.
4012 COMMONS DR W, Destin, FL 32541

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coastal Urology P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Coastal Urology P A, which bills Medicare for the services this clinician delivers.

Clinician (1)

Urology
NPI 1639148166
4012 COMMONS DR W SUITE 100
Destin, FL 32541
(850) 837-0442
✔ PECOS✔ Accepts MedicareSame address

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 Coastal Urology P A's NPI number?

The NPI number for Coastal Urology P A is 1396853941. It was assigned to this organization in the NPPES registry on August 25, 2006.

Where is Coastal Urology P A located?

Coastal Urology P A is located at 4012 Commons Dr W Suite 100, Destin, FL 32541. The listed phone number is (850) 837-0442.

What is Coastal Urology P A's specialty?

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

Is Coastal Urology P A enrolled in Medicare?

Yes. Coastal Urology P A is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Urology P A?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Coastal Urology P A. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Coastal Urology P A was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.