Individual provider Active NPI

Konrad Wladyslaw Filutowski, M.D.,

  • Ophthalmology Physician
  • Lake Mary, FL
National Provider Identifier
1134295744
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME50324 Issued in FL
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03670OtherFLBCBSFL
4571717OtherFLGHI
062746100MedicaidFL
5257066OtherFLAETNA
5725132OtherFLCIGNA

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
I20080512000276 FL Practitioner - Ophthalmology 9032106570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Filutowski Eye Institute PAGroup PAC ID 6406843945, 11 clinicians

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 100Reported as group
Quality
97.77
Improvement activities
40
Cost
53.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery130

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Filutowski Eye Institute PA CurrentSince Apr 1, 1992 Accepting new patients
Filutowski Eye Institute PA CurrentSince Apr 1, 1992 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.