Individual provider Active NPI

Leszek Jerzy Fiutowski, MD

  • Cardiovascular Disease Physician
  • College Park, MD
National Provider Identifier
1629165394
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0028003 Issued in MD
Practice address
9051 Autoville Drive
College Park, MD 20741
Phone
(301) 982-2020
Fax
(301) 982-2581
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0028003 MD Primary
Cardiovascular Disease Physician 207RC0000X 0101030820 VA
Cardiovascular Disease Physician 207RC0000X 13557 DC
Cardiovascular Disease Physician 207RC0000X ME48796 FL
Cardiovascular Disease Physician 207RC0000X 52103 MA

Addresses

Primary practice location

9051 Autoville Drive
College Park, MD 20741

Mailing address

9051 Autoville Drive
PO Box 1072
College Park, MD 20741
Phone (301) 982-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13557DCMDCardiovascular Disease Physician
ME48796FLMDCardiovascular Disease Physician
52103MAMDCardiovascular Disease Physician
D0028003MDMDCardiovascular Disease Physician
0101030820VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
St. Elizabeth Cardiac Cath Lab, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629165394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9051 AUTOVILLE DRIVE",
            "address_2": "PO BOX 1072",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "20741",
            "telephone_number": "301-982-2020",
            "fax_number": "301-982-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9051 AUTOVILLE DRIVE",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "20741",
            "telephone_number": "301-982-2020",
            "fax_number": "301-982-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIUTOWSKI",
        "first_name": "LESZEK",
        "middle_name": "JERZY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0028003",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101030820",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DC",
            "license": "13557",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME48796",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "52103",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.