Individual provider Active NPI

Gennadiy Aleksandrovich Katsevman, M.D.

  • Neurological Surgery Physician
  • Naples, FL
National Provider Identifier
1669884441
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME157518 Issued in FL
Practice address
6101 Pine Ridge Rd Ste 101
Naples, FL 34119-3900
Phone
(239) 649-1662
Fax
(877) 334-1886
NPI assigned
May 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 27090 WV
Neurological Surgery Physician 207T00000X 62548 AZ
Neurological Surgery Physician 207T00000X ME157518 FL Primary

Addresses

Primary practice location

6101 Pine Ridge Rd Ste 101
Naples, FL 34119-3900

Mailing address

3451 Pine Ridge Rd BLDG 601
Naples, FL 34109-3922
Phone (239) 449-3072

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
I20220710000140 FL Practitioner - Neurosurgery 9032410030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Loyola University of Chicago, Stritch School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Moorings IncorporatedGroup PAC ID 4688832066, shared by 2 NPIs, 116 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

120 Moorings Park Dr
Naples, FL 34105-2122

130 Moorings Park Dr
Naples, FL 34105-2122

20009 Verdana Village Blvd
Estero, FL 33928-9826
Phone (419) 221-6717

6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone (239) 566-3434

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion185
Upper limb (arm) arthroscopy (minimally invasive joint repair)12
Laminectomy or laminotomy (partial removal of spine bones)80

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME157518FLMDNeurological Surgery Physician
27090WVMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroscience and Spine Associates PL CurrentSince Aug 15, 2022 Accepting new patients
Neuroscience and Spine Associates PL Current Accepting new patients
Neuroscience and Spine Associates PL CurrentSince Aug 15, 2022 Accepting new patients
Neuroscience and Spine Associates PL Past Accepting new patients

Locations

8380 Riverwalk Park Blvd
Ste 320
Fort Myers, FL 33919
Phone (239) 437-1121

3451 Pine Ridge Rd
Ste 601
Naples, FL 34109

3451 Pine Ridge Rd
Bldg 601
Naples, FL 34109
Phone (239) 449-3072

6101 Pine Ridge Rd
Ste 101
Naples, FL 34119
Phone (239) 449-3072

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

Interoperability endpoints

  • Direct secure messaging: gennadiykatsevman@nsapl.allscriptsdirect.net

Organizations & group practices 4

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 6

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": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1669884441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 PINE RIDGE RD BLDG 601",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093922",
            "telephone_number": "239-449-3072",
            "fax_number": "877-334-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 PINE RIDGE RD STE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193900",
            "telephone_number": "239-649-1662",
            "fax_number": "877-334-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATSEVMAN",
        "first_name": "GENNADIY",
        "middle_name": "ALEKSANDROVICH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-28",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WV",
            "license": "27090",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "62548",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME157518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.