VANGUARD UROLOGY
NPI 1417220054
Urology in Pembroke Pines, FL
About Vanguard Urology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VANGUARD UROLOGY (NPI 1417220054) is a healthcare organization registered as an urology in Pembroke Pines, Florida and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through February 14, 2028 and lists Shaden Marzouk, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Vanguard Urology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
282Medicare enrollment records show 282 clinicians reassign Medicare billing to Vanguard Urology, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 31 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 19
Nearest to this location (20)
See all 282Pembroke Pines, FL 33026
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
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 Waiver 10D0970471
Genesiscare Usa Of Florida, LLC Dba Sunstate Medical Specialists · Pembroke Pines, FLFrequently 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 1417220054. It was assigned to this organization in the NPPES registry on February 13, 2012. The provider is doing business as Vanguard Urology.
Where is Genesiscare Usa Of Florida LLC located?
Genesiscare Usa Of Florida LLC is located at 600 N Hiatus Rd Ste 209, Pembroke Pines, FL 33026. The listed phone number is (954) 965-9860.
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 31 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Genesiscare Usa Of Florida LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D0970471) is associated with this NPI, valid through February 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Genesiscare Usa Of Florida LLC accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer 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.
# Vanguard Urology · NPI 1417220054
Urology organization in Pembroke Pines, Florida. Organization record, active in the CMS NPPES registry since February 13, 2012.
## Identity
- **NPI:** 1417220054 (Entity type: Organization)
- **Enumerated:** February 13, 2012
- **Primary specialty:** Urology · taxonomy 208800000X
- **Legal business name:** Genesiscare Usa Of Florida Llc
- **Organization subpart:** Yes (part of Genesiscare Usa Inc.)
- **Authorized official:** Shaden Marzouk, PRESIDENT
## Practice location
- **Address:** 600 N HIATUS RD STE 209, Pembroke Pines, FL 33026-5207
- **Phone:** (954) 965-9860 · **Fax:** (954) 965-9870
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 282 clinicians in 19 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Urology (86), Nurse Practitioner (56), Radiation Oncology (53); 1 practice at this address and 31 within 10 miles; [full list](https://npiprofile.com/npi/1417220054/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 5, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417220054) · Data from the CMS NPPES public registry.