Active NPI
Iulia Funieru, MD
- Dermatology Physician
- Champions Gate, FL
National Provider Identifier
1760435507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME84704
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57865 | Other | FL | BC/BS |
| 0301067 | Other | FL | UNITED HEALTHCARE |
| 3096589 | Other | FL | AETNA |
| 10679101 | Other | FL | CITRUS |
| E8733W | Other | FL | MEDICARE 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
Enrollment records 1
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 100
- Quality
- 58.26
- Promoting interoperability
- 88
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 17 |
| Removal of skin lesions | 559 |
| Skin biopsy | 149 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legends Dermatology, LLC | Specialist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.