Active NPI
Sean Alexander Castellucci, D.O.
- Urology Physician
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- OS11276
- Practice address
- 200 3Rd Ave W
Suite 210
Bradenton, FL 34205-8626 - Phone
- (941) 792-0340
- Fax
- (941) 794-2251
- NPI assigned
- May 12, 2007
- Last updated
- Apr 12, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | OS013044 | PA | |
| Urology Physician | 208800000X | OS11276 | FL | Primary |
Addresses
Primary practice location
200 3Rd Ave W
Suite 210
Bradenton, FL 34205-8626
Mailing address
2234 Colonial Blvd
Attn: Payer Contracting & Relations
Fort Myers, FL 33907-1412
Phone (239) 931-7342
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14EH4 | Other | FL | BCBS FL |
| 236008 | Other | FL | UNVERSAL HEALTHCARE |
| P939461 | Other | FL | OPTIMUM |
| P01800301 | Other | FL | CLEAR HEALTH |
| P993826 | Other | FL | FREEDOM HEALTH |
| 529659 | Other | FL | WELLCARE |
| P01042688 | Other | FL | RAILROAD MCR |
| 353765 | Other | FL | AVMED |
| 9213454 | Other | FL | AETNA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Philadelphia College of Osteopathic Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 3Rd Ave W
Suite 210
Bradenton, FL 34205-8633
Phone (941) 792-0340
Hospital & facility affiliations
- Patients First Home Care LLC
- HCA Florida Blake Hospital
- Manatee Memorial Hospital
- Sarasota Memorial Hospital
- Lakewood Ranch Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 48 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS013044 | PA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesiscare USA of Florida LLC | Urology | Current | Accepting new patients |
| Precision Healthcare Specialists, LLC | Urology | Current | Accepting new patients |
| Genesiscare USA of Florida LLC | Urology | Current | Accepting new patients |
| Genesiscare USA of Florida LLC | Urology | Current | Accepting new patients |
| Genesiscare USA of Florida LLC | Urology | Past | Accepting new patients |
| Up Anesthesia Services LLC | Past | Accepting new patients | |
| Rice and Lake Urology LLP | Urology | Past | Accepting new patients |
Locations
200 3rd Ave W
Ste 210
Bradenton, FL 34205
Phone (941) 782-5439
13691 Metro Pkwy
Ste 300
Fort Myers, FL 33912
Phone (239) 291-6970
2234 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 931-7212
8946 77th Ter E
Lakewood Ranch, FL 34202
Phone (941) 792-0340
730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119
1685 Tamiami Trl
Bldg 4
Pt Charlotte, FL 33948
Phone (239) 374-5220
1 S School Ave
Ste 200
Sarasota, FL 34237
842 Sunset Lake Blvd
Ste 403
Venice, FL 34292
Phone (941) 485-3351
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- scastellucci@phs.emadirect.md
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Advocate Radiation Oncology
- Otolaryngology Physician
- Fort Myers, FL
- NPI 1457050106
Urology
-
- Certified Registered Nurse Anesthetist
- Bradenton, FL
- NPI 1518442607
-
dba David Schwartzwald, MD: Urology Care Specialists
- Urology Physician
- Boca Raton, FL
- NPI 1649093709
-
- Urology Physician
- Columbus, GA
- NPI 1609923796
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Blake Hospital
- General Acute Care Hospital
- Bradenton, FL
- NPI 1114964244
-
- General Acute Care Hospital
- Bradenton, FL
- NPI 1730179714
-
dba Manatee Memorial Hospital
- General Acute Care Hospital
- Bradenton, FL
- NPI 1760472799
-
- Home Health Agency
- Sarasota, FL
- NPI 1245845312
-
- Home Health Agency
- Bradenton, FL
- NPI 1578252615
-
dba Sarasota Memorial Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491955200000",
"number": "1487869400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 COLONIAL BLVD",
"address_2": "ATTN: PAYER CONTRACTING & RELATIONS",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071412",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 3RD AVE W",
"address_2": "SUITE 210",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342058626",
"telephone_number": "941-792-0340",
"fax_number": "941-794-2251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTELLUCCI",
"first_name": "SEAN",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-12",
"last_updated": "2017-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "OS013044",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "OS11276",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL",
"identifier": "14EH4",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNVERSAL HEALTHCARE",
"identifier": "236008",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM",
"identifier": "P939461",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLEAR HEALTH",
"identifier": "P01800301",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FREEDOM HEALTH",
"identifier": "P993826",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "529659",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCR",
"identifier": "P01042688",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "353765",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9213454",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.