Active NPI
Naples Interventional Cardiac Electrophysiology, LLC
- Clinical Cardiac Electrophysiology Physician
- Naples, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- Legal business name
- NAPLES INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY, LLC
- Practice address
- 6609 Willow Park Dr Ste 100
Naples, FL 34109-9015 - Phone
- (239) 643-9977
- Fax
- (239) 596-2743
- NPI assigned
- Apr 19, 2006
- Last updated
- Jan 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. A. Sinan Gursoy, M.D.
- Title
- Partner
- Phone
- (239) 643-9977
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | NU | Primary |
Addresses
Primary practice location
6609 Willow Park Dr Ste 100
Naples, FL 34109-9015
Mailing address
6609 Willow Park Dr Ste 100
Naples, FL 34109-9015
Phone (239) 643-9977
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD0516 | Other | FL | MCR RR |
| 38388 | Other | FL | BCBS |
| 270364500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1020549 | Naples Interventional Cardiac Electrophysiology | Certificate of waiver | Dec 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
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
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Cardiac Electrophysiology Physician
- Naples, FL
- NPI 1174516546
-
- Medical Physician Assistant
- Naples, FL
- NPI 1639162092
-
- Family Nurse Practitioner
- Naples, FL
- NPI 1205551918
-
- Nurse Practitioner
- Fort Myers, FL
- NPI 1124258983
-
- Clinical Cardiac Electrophysiology Physician
- Naples, FL
- NPI 1053304436
-
- Acute Care Nurse Practitioner
- Naples, FL
- NPI 1619139334
-
- Clinical Cardiac Electrophysiology Physician
- Owensboro, KY
- NPI 1992785018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642032000000",
"number": "1205891645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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": "239-643-3424"
},
{
"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": "239-596-2743"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAPLES INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-19",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A",
"authorized_official_last_name": "GURSOY",
"authorized_official_first_name": "A. SINAN",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "239-643-9977",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCR RR",
"identifier": "DD0516",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "38388",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "270364500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
- Naples Injury Treatment Center LLC
- Naples Institute of Healing Dba Caliber Wellness
- Naples Institute of Healing LLC
- Naples Integrated Recovery
- Naples Interventional Cardiac Electrophysiology
- Naples Little House Inc.
- Naples Medical & Rehab LLC
- Naples Medical Care Inc
- Naples Medical Center
- Naples Medical Center PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.