1. Home
  2. Directory
  3. Florida
  4. Fort Walton Beach
  5. Urology
  6. NPI Profile

BASIL D FOSSUM MD
NPI 1427339399
Urology in Fort Walton Beach, FL

Active since September 06, 2011
914 MAR WALT DR, SUITE B, FORT WALTON BEACH, FL 32547(850) 226-6572(850) 862-8564 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 24, 2020, Jul 12, 2019 (2 updates tracked since 2019).

About Basil D Fossum Md NPPES

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

BASIL D FOSSUM MD (NPI 1427339399) is a healthcare organization registered as an urology in Fort Walton Beach, Florida and active in the NPI registry since September 2011. The organization lists Dan Collins, President, as its authorized official.

NPPES Registry Identity

NPI1427339399
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGENESISCARE USA OF FLORIDA LLC
Location Address914 MAR WALT DR, SUITE BFort Walton Beach, FL 32547-6706
Mailing Address2160 Colonial BlvdFort Myers, FL 33907-1410 · (239) 931-7342 · Fax (239) 931-7385
Phone(850) 226-6572
Fax(850) 862-8564
Organization SubpartYesParent: Genesiscare Usa Inc.
Authorized OfficialDan CollinsPresident · (239) 931-7275
Enumeration DateSeptember 6, 2011
Last NPPES UpdateAugust 24, 20202 updates tracked since enumeration
NPPES CertifiedAugust 24, 2020
✔ NPI 1427339399 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.
914 MAR WALT DR, Fort Walton Beach, FL 32547
Open in Google Maps ↗

Other Names 1

Doing Business AsBasil D Fossum Md

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

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

Basil D Fossum Md 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 Basil D Fossum MD, which bills Medicare for the services they deliver. Of these, 5 practice 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
Warren Amos, MD
Radiation Oncology
NPI 1275537755
1026 MAR WALT DR
Fort Walton Beach, FL 32547
(850) 863-5294
✔ PECOS✔ Accepts Medicare0.2 mi
James Stevens, MD
Radiation Oncology
NPI 1467447565
1026 MAR WALT DR
Ft Walton Beach, FL 32547
(850) 863-5294
✔ PECOS✔ Accepts Medicare0.2 mi
Matthew Johnson, MD
General Surgery
NPI 1770607871
1026 MAR WALT DR
Fort Walton Beach, FL 32547
(850) 863-5294
✔ PECOS✔ Accepts Medicare0.2 mi
William Haney, M.D.
General Surgery
NPI 1568400331
550 TWIN CITIES BLVD SUITE C
Niceville, FL 32578
(850) 678-6601
✔ PECOS✔ Accepts Medicare10.0 mi
Robert Hruby, M.D.
General Surgery
NPI 1679513410
550 TWIN CITIES BLVD. SUITE C
Niceville, FL 32578
(850) 678-6601
✔ PECOS✔ Accepts Medicare10.0 mi
Edward Becker, M.D.
Urology
NPI 1194703223
3347 STATE ROAD 7 SUITE 101
Wellington, FL 33449
(561) 790-2111
✔ PECOS✔ Accepts Medicare33 mi
Rafael Lopez, M.D.
Urology
NPI 1124006358
3347 STATE ROAD 7 SUITE 101
Wellington, FL 33449
(561) 790-2111
✔ PECOS✔ Accepts Medicare33 mi
Fred Muhletaler Maggiolo, M.D.
Urology
NPI 1588875678
3347 STATE ROAD 7 SUITE 101
Wellington, FL 33449
(561) 790-2111
✔ PECOS✔ Accepts Medicare33 mi
Georgis Patsias, MD
Urology
NPI 1942285390
3347 STATE ROAD 7 SUITE 101
Wellington, FL 33449
(561) 790-2111
✔ PECOS✔ Accepts Medicare33 mi
Damian Portela, M.D.
Urology
NPI 1194703330
3347 STATE ROAD 7 SUITE 101
Wellington, FL 33449
(561) 790-2111
✔ PECOS✔ Accepts Medicare33 mi
Sean Sawh, MD
Urology
NPI 1154593689
3347 STATE ROAD 7 SUITE 101
Wellington, FL 33449
(561) 790-2111
✔ PECOS✔ Accepts Medicare33 mi
Kishore Dass, M.D.
Radiation Oncology
NPI 1245229533
3343 STATE ROAD 7
Wellington, FL 33449
(561) 795-9845
✔ PECOS✔ Accepts Medicare33 mi
Alicia Gittleman, M.D.
Radiation Oncology
NPI 1295926277
3343 STATE ROAD 7
Wellington, FL 33449
(561) 795-9845
✔ PECOS✔ Accepts Medicare33 mi
Sandra Sanchez, D.O.
General Surgery
NPI 1740287846
3343 STATE ROAD 7
Wellington, FL 33449
(561) 795-9845
✔ PECOS33 mi
Brian Center, M.D.
Radiation Oncology
NPI 1790908796
2100 STATE AVE
Panama City, FL 32405
(850) 763-0036
✔ PECOS✔ Accepts Medicare61 mi
Ali Loflin, CRNP
Nurse Practitioner
NPI 1801494661
4274 W MAIN ST
Dothan, AL 36305
(334) 793-2312
✔ PECOS89 mi
Hejal Patel, M.D.
Radiation Oncology
NPI 1174746168
4274 W MAIN ST
Dothan, AL 36305
(334) 793-2312
✔ PECOS✔ Accepts Medicare89 mi
David Rock, M.D.
General Surgery
NPI 1356391791
1831 5TH AVE
Columbus, GA 31904
(706) 320-8660
✔ PECOS✔ Accepts Medicare170 mi
Adam Riker, MD
Surgical Oncology
NPI 1194773069
1542 TULANE AVE ROOM 741
New Orleans, LA 70112
(504) 568-4752
✔ PECOS✔ Accepts Medicare209 mi
Charles Perkins, M.D.
Radiation Oncology
NPI 1851577183
6420 W NEWBERRY RD
Gainesville, FL 32605
(352) 333-5840
✔ PECOS✔ Accepts Medicare259 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 1427339399. It was assigned to this organization in the NPPES registry on September 6, 2011. The provider is doing business as Basil D Fossum MD.

Where is Genesiscare Usa Of Florida LLC located?

Genesiscare Usa Of Florida LLC is located at 914 Mar Walt Dr Suite B, Fort Walton Beach, FL 32547. The listed phone number is (850) 226-6572.

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, 5 practice 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. and Cigna Healthcare 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 August 24, 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.