Individual provider Active NPI

Christopher James Diblasio, M.D.

  • Urology Physician
  • Bonita Springs, FL
National Provider Identifier
1952524274
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME152458 Issued in FL
Practice address
9500 Bonita Beach Rd SE Ste 201
Bonita Springs, FL 34135-4683
Phone
(239) 374-5220
Fax
(239) 567-3648
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME152458 FL Primary

Addresses

Primary practice location

9500 Bonita Beach Rd SE Ste 201
Bonita Springs, FL 34135-4683

Mailing address

6321 Daniels Pkwy Ste 200
Fort Myers, FL 33912-4773
Phone (239) 374-5220

Other practice location 1

1685 Tamiami Trl Bldg 4
Port Charlotte, FL 33948-1042
Phone (239) 374-5220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080920000024 NY Practitioner - Urology 7113094921 Reassigns benefits to 2 organizations
I20211011002221 FL Practitioner - Urology 7113094921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Precision Healthcare Specialists, LLCGroup PAC ID 6103284955, 129 clinicians

Practice addresses (Care Compare)

9776 Bonita Beach Rd SE
Suite 202a
Bonita Springs, FL 34135-4775
Phone (239) 206-1668

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME152458FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC Urology CurrentSince Nov 1, 2021 Accepting new patients
Precision Healthcare Specialists, LLC Urology CurrentSince Jul 1, 2024 Accepting new patients
21St Century Oncology LLC Urology CurrentSince Nov 1, 2021 Accepting new patients
North Shore-Lij Medical PC Urology CurrentSince Apr 1, 2020 Accepting new patients
Genesiscare USA of Florida LLC Urology Current Accepting new patients
Genesiscare USA of Florida LLC Urology Current Accepting new patients
Optum Urgent Care, PLLC CurrentSince Mar 1, 2020 Accepting new patients

Locations

9776 Bonita Beach Rd SE
Ste 202A
Bonita Springs, FL 34135
Phone (239) 206-1668

9500 Bonita Beach Rd SE
Ste 201
Bonita Springs, FL 34135
Phone (239) 319-2195

2721 Del Prado Blvd S
Ste 200
Cape Coral, FL 33904
Phone (239) 458-6677

2270 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 344-2391

4571 Colonial Blvd
Ste 110
Fort Myers, FL 33966
Phone (239) 226-2727

13691 Metro Pkwy
Ste 300
Fort Myers, FL 33912
Phone (239) 291-6970

6321 Daniels Pkwy
Ste 200
Fort Myers, FL 33912
Phone (855) 674-7400

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

2400 Harbor Blvd
Ste 21
Port Charlotte, FL 33952
Phone (941) 625-1550

1685 Tamiami Trl
Bldg 4
Pt Charlotte, FL 33948
Phone (239) 374-5220

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

3111 New Hyde Park Rd
North New Hyde Pk, NY 11042
Phone (516) 365-6100

300 Community Dr
Plandome, NY 11030

14 Technology Dr
Setauket, NY 11733
Phone (516) 444-1357

222 Westchester Ave
Ste G1
White Plains, NY 10604
Phone (877) 465-4845

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: christopherdiblasio@genesiscareuro.medalliesdirect.net
  • Direct secure messaging: cdiblasio@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 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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1952524274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 DANIELS PKWY STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124773",
            "telephone_number": "239-374-5220",
            "fax_number": "239-567-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 BONITA BEACH RD SE STE 201",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354683",
            "telephone_number": "239-374-5220",
            "fax_number": "239-567-3648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1685 Tamiami Trl Bldg 4",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339481042",
            "country_code": "US",
            "telephone_number": "239-374-5220",
            "fax_number": "239-567-3648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIBLASIO",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME152458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

Verify at the official NPI Registry.