Individual provider Active NPI

Iulia Funieru, MD

  • Dermatology Physician
  • Champions Gate, FL
National Provider Identifier
1760435507
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME84704 Issued in FL
Practice address
1497 Legends Blvd
Champions Gate, FL 33896-8393
Phone
(407) 479-2924
Fax
(407) 479-2999
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME84704 FL
Dermatology Physician 207N00000X ME84704 FL Primary

Addresses

Primary practice location

1497 Legends Blvd
Champions Gate, FL 33896-8393

Mailing address

1497 Legends Blvd
Champions Gate, FL 33896-8393
Phone (407) 479-2924

Other identifiers 5

IdentifierTypeStateIssuer
57865OtherFLBC/BS
0301067OtherFLUNITED HEALTHCARE
3096589OtherFLAETNA
10679101OtherFLCITRUS
E8733WOtherFLMEDICARE ID-TYPE UNSPECIFIED

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
I20101202000755 FL Practitioner - Dermatology 3870789860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1497 Legends Blvd
Champions Gate, FL 33896-8393
Phone (407) 479-2924

Merit-based Incentive Payment System (MIPS)

Final score
73.44 of 100Reported as individual
Quality
58.26
Promoting interoperability
88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17
Removal of skin lesions559
Skin biopsy149

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Legends Dermatology, LLC Specialist CurrentSince Dec 10, 2014 Accepting new patients

Locations

1497 Legends Blvd
Champions Gate, FL 33896
Phone (407) 479-2924

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1760435507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 LEGENDS BLVD",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968393",
            "telephone_number": "407-479-2924",
            "fax_number": "407-479-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 LEGENDS BLVD",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968393",
            "telephone_number": "407-479-2924",
            "fax_number": "407-479-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNIERU",
        "first_name": "IULIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME84704",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME84704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "57865",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0301067",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3096589",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITRUS",
            "identifier": "10679101",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "E8733W",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Champions Gate, FL

Sources for this page

Verify at the official NPI Registry.