Walter J Cukrowski, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301061442 Issued in MI

Practice address

29877 Telegraph Rd
Suite 100
Southfield, MI 48034-1332

Phone

(248) 352-2806

Fax

(248) 352-9590

NPI assigned

Oct 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Ophthalmology

Education

University of Michigan Medical School, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Eyecare Institute PCGroup PAC ID 4284625971, 6 clinicians

Cukrowski Eye Center PCGroup PAC ID 3779505268, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Straith Hospital for Special Surgery Hospital, Southfield, MI, CCN 230071

Merit-based Incentive Payment System (MIPS)

Final score

97.43 of 100Reported as group

Quality

100

Improvement activities

40

Cost

77.23

Merit-based Incentive Payment System (MIPS)

Final score

96.34 of 100Reported as group

Quality

99.56

Improvement activities

40

Cost

80.87

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wcukrowski1124182@direct.hfhs.org
• FHIR API: https://app.meldrx.com/api/fhir/me61ws34
• Direct secure messaging: wjc@michiganeyecareinstitute.ecldirect.net
• Direct secure messaging: wcukrowski@eastmichiganeyecenter.ecldirect.net
• Direct secure messaging: walter.cukrowski.1@11987.direct.athenahealth.com

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.

• Cukrowski Eye Center, PC

  • Ophthalmology Physician
  • Flint, MI
  • NPI 1558458455
  Medicare reassignment Care Compare group NPD
• Michigan Eyecare Institute, P.C.

  • Ophthalmology Physician
  • Southfield, MI
  • NPI 1962551531
  Medicare reassignment Care Compare group NPD
• Group Vision Center, Inc.

  • Optometrist
  • Dearborn, MI
  • NPI 1992133169
  NPD (past) Authorized official
• Cukrowski Eye Center, PC

  • Eyewear Supplier
  • Flint, MI
  • NPI 1548691744

  Ophthalmology

  NPD
• Michigan Eyecare Institute, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Southfield, MI
  • NPI 1205986585

  Pediatrics

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Straith Hospital for Special Surgery

  • General Acute Care Hospital
  • Southfield, MI
  • NPI 1548268436
  Care Compare affiliation

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1720078587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29877 TELEGRAPH RD",
            "address_2": "SUITE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341332",
            "telephone_number": "248-352-2806",
            "fax_number": "248-352-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29877 TELEGRAPH RD",
            "address_2": "SUITE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341332",
            "telephone_number": "248-352-2806",
            "fax_number": "248-352-9590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 S Ballenger Hwy",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485323804",
            "country_code": "US",
            "telephone_number": "810-238-3603",
            "fax_number": "810-767-5194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4337 Maple St",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481263535",
            "country_code": "US",
            "telephone_number": "248-474-4191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36300 Schoolcraft Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481501219",
            "country_code": "US",
            "telephone_number": "248-352-2806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUKROWSKI",
        "first_name": "WALTER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301061442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL GOVERMENT SERVICES",
            "identifier": "5587790001",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wcukrowski@eastmichiganeyecenter.ecldirect.net",
            "affiliation": "N",
            "endpointDescription": "direct message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "701 S Ballenger Hwy",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485323804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maria Crumes, MD
• Tiara Nicole Crutchfield
• Katia Cruz
• Crystallinity Care PC
• Yolanda Yvette Cuff, NURSE PRACTITIONER
• Jane Cullen, LMSW
• Pamella Cummins
• Jasmine Cunningham-Cheek, DNP
• Demetria Kemyatta Cunningham-Davenport
• Leslie Cunningham

• Ophthalmology Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.

Verify at the official NPI Registry.