Individual provider Active NPI

Alexandra Konowal, DO

  • Ophthalmology Physician
  • Estero, FL
National Provider Identifier
1144261876
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
OS7169 Issued in FL
Practice address
9500 Corkscrew Palms Cir
#3
Estero, FL 33928-3307
Phone
(239) 948-7555
Fax
(239) 948-8077
NPI assigned
Jun 10, 2006
Last updated
Jun 26, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 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 OS7169 FL Primary

Addresses

Primary practice location

9500 Corkscrew Palms Cir
#3
Estero, FL 33928-3307

Mailing address

9500 Corkscrew Palms Cir
#3
Estero, FL 33928-3307
Phone (239) 948-7555

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
I20031218000689 FL Practitioner - Ophthalmology 6608773874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Chicago College of Osteopathy, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Konowal Vision IncGroup PAC ID 2264339431, 3 clinicians

Practice addresses (Care Compare)

9500 Corkscrew Palms Cir
Suite 3
Estero, FL 33928-3307

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery166

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Konowal Vision Inc Ophthalmology CurrentSince Oct 6, 2003 Accepting new patients

Locations

9500 Corkscrew Palms Cir
Ste 3
Estero, FL 33928
Phone (239) 948-7555

Interoperability endpoints

  • Direct secure messaging: ak@drkonowal.direct.eyemdemr.com

Organizations & group practices 1

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1144261876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 CORKSCREW PALMS CIR",
            "address_2": "#3",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339283307",
            "telephone_number": "239-948-7555",
            "fax_number": "239-948-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 CORKSCREW PALMS CIR",
            "address_2": "#3",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339283307",
            "telephone_number": "239-948-7555",
            "fax_number": "239-948-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONOWAL",
        "first_name": "ALEXANDRA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "OS7169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

Verify at the official NPI Registry.