Individual provider Active NPI

Paul Jerome Chwiecko, M.D.

  • Family Medicine Physician
  • Wyomissing, PA
National Provider Identifier
1063431393
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD065926L Issued in PA
Practice address
950B N Wyomissing Blvd
Wyomissing, PA 19610-1783
Phone
(484) 628-2490
Fax
(610) 288-4515
NPI assigned
Jul 18, 2006
Last updated
Nov 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD065926L PA Primary

Addresses

Primary practice location

950B N Wyomissing Blvd
Wyomissing, PA 19610-1783

Mailing address

PO Box 13579
Reading, PA 19612-3579
Phone (484) 628-0799

Other identifiers 1

IdentifierTypeStateIssuer
001708594MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060421000124 PA Practitioner - Family Practice 7618987512 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.28 of 100Reported as group
Quality
82.46
Promoting interoperability
97
Improvement activities
40
Cost
44.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD065926LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group Family Medicine CurrentSince Oct 19, 2015 Accepting new patients
Tower Health Urgent Care, LLC Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Tower Health Medical Group CurrentSince Oct 19, 2015 Accepting new patients
Tower Health Medical Group Past Accepting new patients
Lehigh Valley Physician Group Family Medicine Past Accepting new patients
Berks General Medical Group, PC Past Accepting new patients
John R Smith OD and Lori J Smith OD PastSince Feb 9, 2014 Accepting new patients

Locations

1139 Ben Franklin Hwy W
Ste 114
Douglassville, PA 19518
Phone (610) 385-4444

33 W Ridge Pike
Ste 627
Royersford, PA 19468
Phone (610) 226-6200

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

520 Chestnut St
Bldg S3
West Reading, PA 19611
Phone (610) 561-6320

6 Spruce St
West Reading, PA 19611
Phone (484) 628-8269

2101 State Hill Rd
Ste 5
Wyomissing, PA 19610
Phone (610) 898-2490

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

950B N Wyomissing Blvd
Wyomissing, PA 19610
Phone (610) 898-1820

Organizations & group practices 8

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1063431393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579",
            "telephone_number": "484-628-0799",
            "fax_number": "484-334-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950B N WYOMISSING BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101783",
            "telephone_number": "484-628-2490",
            "fax_number": "610-288-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHWIECKO",
        "first_name": "PAUL",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD065926L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001708594",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.