Individual provider Active NPI

Ahmet Sinan Gursoy, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Naples, FL
National Provider Identifier
1174516546
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
ME68469 Issued in FL
Practice address
6609 Willow Park Dr Ste 100
Naples, FL 34109-9015
Phone
(239) 643-9977
Fax
(239) 596-3743
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X ME68469 FL Primary

Addresses

Primary practice location

6609 Willow Park Dr Ste 100
Naples, FL 34109-9015

Mailing address

PO Box 26002
Tampa, FL 33623-6002
Phone (239) 643-9977

Other identifiers 4

IdentifierTypeStateIssuer
P00205816OtherFLMEDICARE RR
378223900MedicaidFL
27546OtherFLBCBS
201095753OtherFLTAX ID

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
I20041021000271 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 7618958497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naples Interventional Cardiac Electrophysiology, LLCGroup PAC ID 4385605674, 2 clinicians

Practice addresses (Care Compare)

6609 Willow Park Dr
Suite 100
Naples, FL 34109-9015
Phone (239) 643-9977

Hospital & facility affiliations

  • Naples Home Health Care, Inc Home health agency, Naples, FL, CCN 683191
  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286
  • Naples Community Hospital Hospital, Naples, FL, CCN 100018

Merit-based Incentive Payment System (MIPS)

Final score
95.58 of 100Reported as group
Quality
97.01
Promoting interoperability
99
Improvement activities
40
Cost
74.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Naples Interventional Cardiac Electrophysiology Current Accepting new patients
Naples Interventional Cardiac Electrophysiology, LLC Clinical Cardiac Electrophysiology CurrentSince Jul 31, 2004 Accepting new patients

Locations

311 Tamiami Trl N
Ste 201
Naples, FL 34102
Phone (239) 624-0030

6609 Willow Park Dr
Ste 100
Naples, FL 34109
Phone (239) 643-9977

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABICAD

Organizations & group practices 2

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 4

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1174516546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26002",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336236002",
            "telephone_number": "239-643-9977",
            "fax_number": "239-643-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 WILLOW PARK DR STE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341099015",
            "telephone_number": "239-643-9977",
            "fax_number": "239-596-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURSOY",
        "first_name": "AHMET",
        "middle_name": "SINAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME68469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00205816",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378223900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "27546",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "201095753",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.