Active NPI
Konrad Wladyslaw Filutowski, M.D.,
- Ophthalmology Physician
- Lake Mary, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME50324
- Practice address
- 1070 Greenwood Blvd
Lake Mary, FL 32746-5404 - Phone
- (407) 333-5111
- Fax
- (407) 333-2434
- NPI assigned
- Nov 27, 2006
- Last updated
- Sep 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME50324 | FL | Primary |
Addresses
Primary practice location
1070 Greenwood Blvd
Lake Mary, FL 32746-5404
Mailing address
1070 Greenwood Blvd
Lake Mary, FL 32746-5404
Phone (407) 333-5111
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03670 | Other | FL | BCBSFL |
| 4571717 | Other | FL | GHI |
| 062746100 | Medicaid | FL | |
| 5257066 | Other | FL | AETNA |
| 5725132 | Other | FL | CIGNA |
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
- Ophthalmology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1070 Greenwood Blvd
Lake Mary, FL 32746-5404
Phone (407) 333-1537
110 Yorktowne Dr
Daytona Beach, FL 32119-1471
Phone (407) 333-1537
2295 S Hiawassee Rd
Suite 101
Orlando, FL 32835-8748
Phone (407) 902-2533
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.04 of 100
- Quality
- 97.77
- Improvement activities
- 40
- Cost
- 53.12
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 130 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Filutowski Eye Institute PA | Current | Accepting new patients | |
| Filutowski Eye Institute PA | Current | Accepting new patients | |
| Filutowski Eye Institute PA | Current | Accepting new patients |
Locations
110 Yorktowne Dr
Daytona Beach, FL 32119
Phone (386) 788-6696
1070 Greenwood Blvd
Lake Mary, FL 32746
Phone (407) 333-1537
2295 S Hiawassee Rd
Ste 101
Orlando, FL 32835
Phone (407) 902-2533
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- konrad.filutowski.p3@direct.fcli.nextgenshare.com
Organizations & group practices 5
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.
-
- Clinic/Center
- Daytona Beach, FL
- NPI 1306910385
-
- Clinic/Center
- Orlando, FL
- NPI 1134290356
-
- Clinic/Center
- Lake Mary, FL
- NPI 1760557102
-
dba Lake Mary Surgical Center
- Ambulatory Surgical Clinic/Center
- Lake Mary, FL
- NPI 1588735708
-
dba Sunrise Surgical Center
- Ambulatory Surgical Clinic/Center
- Daytona Beach, FL
- NPI 1760594279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221436800000",
"number": "1134295744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 GREENWOOD BLVD",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327465404",
"telephone_number": "407-333-5111",
"fax_number": "407-333-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 GREENWOOD BLVD",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327465404",
"telephone_number": "407-333-5111",
"fax_number": "407-333-2434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILUTOWSKI",
"first_name": "KONRAD",
"middle_name": "WLADYSLAW",
"credential": "M.D.,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2008-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME50324",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSFL",
"identifier": "03670",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "4571717",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "062746100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5257066",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5725132",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.