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GENESISCARE OF FLORIDA LLC
NPI 1528442332
Otolaryngology - Plastic Surgery within the Head & Neck in Fort Myers, FL

Active since July 13, 2015
4571 COLONIAL BLVD STE 110, FORT MYERS, FL 33966(239) 790-3480(239) 244-2049 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 3, 2025, Jun 21, 2023, Aug 24, 2020 and 2 more (5 updates tracked since 2016).

About Genesiscare Of Florida Llc NPPES

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

GENESISCARE OF FLORIDA LLC (NPI 1528442332), doing business as Head & Neck Surgical Cancer Specialists Of Sw Florida, is a healthcare organization registered as a plastic surgery within the head & neck in Fort Myers, Florida and active in the NPI registry since July 2015. The organization lists Ian Wong, Cfo, as its authorized official.

NPPES Registry Identity

NPI1528442332
Entity TypeOrganization
Primary Taxonomy207YX0007X
Legal Business NameGENESISCARE OF FLORIDA LLC
Location Address4571 COLONIAL BLVD STE 110Fort Myers, FL 33966-1156
Mailing Address1419 Se 8th Ter Ste 200Cape Coral, FL 33990-3213 · (239) 931-7342 · Fax (239) 931-7385
Phone(239) 790-3480
Fax(239) 244-2049
Organization SubpartYesParent: Genesiscare Usa Inc
Authorized OfficialIan WongCfo · (303) 249-7486
Enumeration DateJuly 13, 2015
Last NPPES UpdateNovember 3, 20255 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1528442332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
Also ListedOtolaryngologyTaxonomy 207Y00000X
4571 COLONIAL BLVD STE 110, Fort Myers, FL 33966
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Other Names 1

Doing Business AsHead & Neck Surgical Cancer Specialists Of Sw Florida

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Cigna Healthcare and more.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)

Genesiscare Of Florida Llc 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 Genesiscare Of Florida LLC, which bills Medicare for the services they deliver. Of these, 54 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
Scott Caesar, MD
Urology
NPI 1083849566
8931 COLONIAL CENTER DR SUITE 100
Fort Myers, FL 33905
(239) 458-1196
✔ PECOS✔ Accepts Medicare0.7 mi
Edward Grendys, MD
Gynecological Oncology
NPI 1669479747
8931 COLONIAL CENTER DR SUITE 400
Fort Myers, FL 33905
(239) 334-6626
✔ PECOS✔ Accepts Medicare0.7 mi
Fadi Abu Shahin, MD
Gynecological Oncology
NPI 1265608806
8931 COLONIAL CENTER DR SUITE 400
Fort Myers, FL 33905
(239) 334-6626
✔ PECOS✔ Accepts Medicare0.7 mi
Kelly Dylik, APRN FNP-C
Nurse Practitioner
NPI 1184297103
8931 COLONIAL CENTER DR STE 400
Fort Myers, FL 33905
(239) 334-6626
✔ PECOS✔ Accepts Medicare0.7 mi
Samith Sandadi, M.D.
Gynecological Oncology
NPI 1790980142
8931 COLONIAL CENTER DR STE 400
Fort Myers, FL 33905
(239) 319-3714
✔ PECOS✔ Accepts Medicare0.7 mi
Bassan Allan
Surgical Oncology
NPI 1356582381
8925 COLONIAL CENTER DR STE 1000
Fort Myers, FL 33905
(239) 343-7400
✔ PECOS✔ Accepts Medicare0.7 mi
Paul Bloomston, MD
Surgical Oncology
NPI 1982658225
8925 COLONIAL CENTER DR STE 1000
Fort Myers, FL 33905
(239) 343-7400
✔ PECOS✔ Accepts Medicare0.7 mi
Casey Diaz De Nacimiento
Nurse Practitioner
NPI 1750125878
8925 COLONIAL CENTER DR STE 1000
Fort Myers, FL 33905
(239) 343-7400
✔ PECOS✔ Accepts Medicare0.7 mi
Catalina Mosquera, M.D.
General Surgery
NPI 1952668667
8925 COLONIAL CENTER DR STE 1000
Fort Myers, FL 33905
(239) 343-7400
✔ PECOS✔ Accepts Medicare0.7 mi
Jeffrey Renaud
Nurse Practitioner
NPI 1689405649
8925 COLONIAL CENTER DR STE 1000
Fort Myers, FL 33905
(239) 343-7400
✔ PECOS✔ Accepts Medicare0.7 mi
Meagan Walton, ARNP
Nurse Practitioner
NPI 1124258983
8925 COLONIAL CENTER DR STE 1000
Fort Myers, FL 33905
(239) 343-7400
✔ PECOS✔ Accepts Medicare0.7 mi
Kelly Elleson, MD
General Surgery
NPI 1487048930
8931 COLONIAL CENTER DR STE 301
Fort Myers, FL 33905
(239) 539-8815
✔ PECOS✔ Accepts Medicare0.7 mi
Bethany Loppnow, ARNP, FNP-C
Nurse Practitioner
NPI 1538770235
2675 WINKLER AVE
Fort Myers, FL 33901
(844) 674-4677
✔ PECOS✔ Accepts Medicare2.5 mi
Yolayci Torres Leyva
Nurse Practitioner
NPI 1578275061
2270 COLONIAL BLVD
Fort Myers, FL 33907
(833) 367-6942
✔ PECOS✔ Accepts Medicare3.1 mi
Eric Pachter, MD
Urology
NPI 1922068436
2234 COLONIAL BLVD ATTN: PAYER CONTRACTING & RELATIONS
Fort Myers, FL 33907
(239) 931-7342
✔ PECOS✔ Accepts Medicare3.2 mi
George Kalemeris, MD
Pathology
NPI 1407835234
1620 MEDICAL LN SUITE 100
Ft Myers, FL 33907
(239) 275-1164
✔ PECOS3.9 mi
Lori Cook, MS
Qualified Audiologist
NPI 1306004817
39 BARKLEY CIR
Fort Myers, FL 33907
(239) 936-1616
✔ Accepts Medicare4.2 mi
Robert Kopp, MD
Otolaryngology
NPI 1487913794
39 BARKLEY CIR
Fort Myers, FL 33907
(239) 936-1616
✔ PECOS✔ Accepts Medicare4.2 mi
John Neiner, M.D.
Otolaryngology
NPI 1629334230
39 BARKLEY CIR
Fort Myers, FL 33907
(239) 936-1616
✔ PECOS✔ Accepts Medicare4.2 mi
Aaron Bilovecky, M.A, CCC-A
Qualified Audiologist
NPI 1598914715
39 BARKLEY CIR
Fort Myers, FL 33907
(239) 936-1616
✔ Accepts Medicare4.2 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 Of Florida LLC's NPI number?

The NPI number for Genesiscare Of Florida LLC is 1528442332. It was assigned to this organization in the NPPES registry on July 13, 2015. The provider is doing business as Head & Neck Surgical Cancer Specialists of SW Florida.

Where is Genesiscare Of Florida LLC located?

Genesiscare Of Florida LLC is located at 4571 Colonial Blvd Ste 110, Fort Myers, FL 33966. The listed phone number is (239) 790-3480.

What is Genesiscare Of Florida LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Genesiscare Of Florida LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Genesiscare 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 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, 54 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Genesiscare Of Florida LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Genesiscare 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 Of Florida LLC was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.