Individual provider Active NPI

Edward C. Grendys Jr., MD

  • Gynecologic Oncology Physician
  • Fort Myers, FL
National Provider Identifier
1669479747
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
ME0072182 Issued in FL
Practice address
8931 Colonial Center Dr
Suite 400
Fort Myers, FL 33905-7816
Phone
(239) 334-6626
Fax
(239) 334-0404
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X ME0072182 FL Primary

Addresses

Primary practice location

8931 Colonial Center Dr
Suite 400
Fort Myers, FL 33905-7816

Mailing address

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

Other identifiers 8

IdentifierTypeStateIssuer
2262127-008OtherFLCIGNA PROVIDER NUMBER
3762567OtherFLAETNA HMO PROVIDER #
251462100MedicaidFL
1278212OtherFLWELLCARE-MEDICARE AND MEDICAID
P00194029OtherFLRAILROAD MEDICARE
32707OtherFLBCBS OF FL. PROVIDER #
1046139OtherFLFIRST HEALTH PROV. NUMBER
4521619OtherFLAETNA OTHER PROVIDER #

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
I20050120000142 FL Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 3870588338 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological OncologyAlso: Obstetrics/Gynecology
Education
Northwestern University Feinberg Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
Genesiscare USA of Florida LLCGroup PAC ID 9830082882, 172 clinicians

Practice addresses (Care Compare)

11190 Health Park Blvd
Naples, FL 34110-5729
Phone (239) 552-7000

1885 SW Health Pkwy
Naples, FL 34109-0449
Phone (239) 593-3030

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of the uterus76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0072182FLMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC Gynecologic Oncology CurrentSince Jan 10, 2005 Accepting new patients
Nchmd Inc Current Accepting new patients
Landmark Hospital of Southwest Florida, LLC CurrentSince Jul 16, 2025 Accepting new patients
Genesiscare USA of Florida LLC Current Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Jan 10, 2005 Accepting new patients
Nchmd, Inc CurrentSince Jul 16, 2025 Accepting new patients
University Medical Service Association Inc Past Accepting new patients

Locations

8931 Colonial Center Dr
Ste 400
Fort Myers, FL 33905
Phone (239) 319-3714

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

8925 Colonial Center Dr
Ste 1001
Fort Myers, FL 33905
Phone (239) 343-5864

1885 SW Health Pkwy
Naples, FL 34109
Phone (239) 593-3030

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

2320 Vanderbilt Beach Rd
#102
Naples, FL 34109

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

2320 Vanderbilt Beach Rd
Naples, FL 34109

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: egrendys19862@nchhealthcaresystem.direct-ci.com
  • Direct secure messaging: edward.grendys@fgo.directbygreenway.com

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 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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1669479747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "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": "8931 COLONIAL CENTER DR",
            "address_2": "SUITE 400",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339057816",
            "telephone_number": "239-334-6626",
            "fax_number": "239-334-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENDYS",
        "first_name": "EDWARD",
        "middle_name": "C.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "FL",
            "license": "ME0072182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "2262127-008",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO PROVIDER #",
            "identifier": "3762567",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251462100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE-MEDICARE AND MEDICAID",
            "identifier": "1278212",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00194029",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL. PROVIDER #",
            "identifier": "32707",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH PROV. NUMBER",
            "identifier": "1046139",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA OTHER PROVIDER #",
            "identifier": "4521619",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.