Individual provider Active NPI

Bledar Gjinollari, PAC

  • Physician Assistant
  • North Port, FL
National Provider Identifier
1922750199
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9115420 Issued in FL
Practice address
18669 Tamiami TRL
Ste B
North Port, FL 34287-7388
Phone
(941) 423-5040
NPI assigned
Jan 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9115420 FL Primary

Addresses

Primary practice location

18669 Tamiami TRL
Ste B
North Port, FL 34287-7388

Mailing address

18669 Tamiami TRL
Ste B
North Port, FL 34287-7388
Phone (941) 423-5040

Other practice location 1

5216 Clayton Ct
Fort Myers, FL 33907-2116
Phone (239) 343-8260

Other practice location 2

3369 Pine Ridge Rd Unit 203
Naples, FL 34109-3932
Phone (239) 631-2662

Other identifiers 1

IdentifierTypeStateIssuer
113257400MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bgjinollari673029@Direct.leememorial.org Direct LEE HEALTH SYSTEM INC

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220208001647 FL Practitioner - Physician Assistant 8123336807 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (941) 766-4903

Hospital & facility affiliations

  • Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9115420FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc CurrentSince Mar 23, 2026 Accepting new patients
Lee Health System Inc CurrentSince Jul 1, 2025 Accepting new patients
Millennium Physician Group LLC CurrentSince Feb 14, 2022 Accepting new patients
Lee Health System Inc CurrentSince Jul 1, 2025 Accepting new patients
Millennium Physician Group LLC CurrentSince Feb 14, 2022 Accepting new patients
Lehigh Pulmonary Associates, Inc PastSince May 1, 2022 Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

5216 Clayton Ct
Fort Myers, FL 33907
Phone (239) 343-8260

12995 S Cleveland Ave
Ste 184
Fort Myers, FL 33907
Phone (239) 226-2727

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

3369 Pine Ridge Rd
Unit 203
Naples, FL 34109
Phone (239) 298-1285

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

18669 Tamiami Trl
Ste B
North Port, FL 34287
Phone (941) 423-5040

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: bgjinollari673029@direct.leememorial.org

Organizations & group practices 6

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 2

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": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1922750199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18669 TAMIAMI TRL",
            "address_2": "STE B",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342877388",
            "telephone_number": "941-423-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18669 TAMIAMI TRL",
            "address_2": "STE B",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342877388",
            "telephone_number": "941-423-5040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5216 Clayton Ct",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339072116",
            "country_code": "US",
            "telephone_number": "239-343-8260",
            "fax_number": "239-343-4258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3369 Pine Ridge Rd Unit 203",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341093932",
            "country_code": "US",
            "telephone_number": "239-631-2662",
            "fax_number": "239-631-8597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GJINOLLARI",
        "first_name": "BLEDAR",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-19",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113257400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bgjinollari673029@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "LEE HEALTH SYSTEM INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

Verify at the official NPI Registry.