Individual provider Active NPI

Marc A Melser, MD

  • Urology Physician
  • Port Charlotte, FL
National Provider Identifier
1063480085
Registry record updated Sep 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME0065024 Issued in FL
Practice address
3410 Tamiami TRL
Suite 4
Port Charlotte, FL 33952-8127
Phone
(941) 235-7281
Fax
(941) 235-0463
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME0065024 FL Primary

Addresses

Primary practice location

3410 Tamiami TRL
Suite 4
Port Charlotte, FL 33952-8127

Mailing address

2234 Colonial Blvd
Managed Care Dept
Fort Myers, FL 33907-1412
Phone (239) 931-7342

Other identifiers 7

IdentifierTypeStateIssuer
375845100MedicaidFL
1193401OtherFLWELLCARE
334857OtherFLAVMED
P00699994OtherFLRAILROAD MEDICARE
5496020OtherFLAETNA
QMP000005122202OtherFLMOLINA HEALTHCARE
25222OtherFLBC/BS FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040616000209 FL Practitioner - Urology 8527042035 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Georgetown University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Precision Healthcare Specialists, LLCGroup PAC ID 6103284955, 129 clinicians

Practice addresses (Care Compare)

3410 Tamiami TRL
Unit 4
Port Charlotte, FL 33952-8112
Phone (941) 235-7281

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0065024FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC Urology Current Accepting new patients
Genesiscare USA of Florida LLC Urology CurrentSince Nov 18, 2008 Accepting new patients
21St Century Oncology LLC Urology CurrentSince Nov 18, 2008 Accepting new patients
Precision Healthcare Specialists, LLC Urology CurrentSince Sep 1, 2024 Accepting new patients
Arturo Rodriguez-Martin MD PL Past Accepting new patients
Genesiscare USA of Florida LLC Urology Past Accepting new patients

Locations

2160 Colonial Blvd
Fort Myers, FL 33907

13691 Metro Pkwy
Ste 300
Fort Myers, FL 33912
Phone (239) 291-6970

2234 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 931-7212

730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119

3410 Tamiami Trl
Unit 4
Pt Charlotte, FL 33952
Phone (941) 235-7281

1685 Tamiami Trl
Bldg 4
Pt Charlotte, FL 33948
Phone (239) 374-5220

842 Sunset Lake Blvd
Ste 403
Venice, FL 34292
Phone (941) 485-3351

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505692800000",
    "number": "1063480085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "address_2": "MANAGED CARE DEPT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-931-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 TAMIAMI TRL",
            "address_2": "SUITE 4",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528127",
            "telephone_number": "941-235-7281",
            "fax_number": "941-235-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELSER",
        "first_name": "MARC",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2017-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME0065024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375845100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1193401",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "334857",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00699994",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5496020",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTHCARE",
            "identifier": "QMP000005122202",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS FL",
            "identifier": "25222",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.