Active NPI
Albert Tomasz Chmielewski, M.D.
- Family Medicine Physician
- Merriam, KS
National Provider Identifier
1154761609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2021034754
- Practice address
- 7301 E Frontage Rd
Merriam, KS 66204-1632 - Phone
- (913) 789-1940
- Fax
- (913) 384-4093
- NPI assigned
- Jun 28, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD-42839 | IA | |
| Family Medicine Physician | 207Q00000X | 2021034754 | MO | Primary |
| Family Medicine Physician | 207Q00000X | 04-39379 | KS |
Addresses
Primary practice location
7301 E Frontage Rd
Merriam, KS 66204-1632
Mailing address
7301 E Frontage Rd
Merriam, KS 66204-1632
Phone (913) 789-1940
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-42839 | IA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1154761609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7301 E FRONTAGE RD",
"city": "MERRIAM",
"state": "KS",
"postal_code": "662041632",
"telephone_number": "913-789-1940",
"fax_number": "913-384-4093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 E FRONTAGE RD",
"city": "MERRIAM",
"state": "KS",
"postal_code": "662041632",
"telephone_number": "913-789-1940",
"fax_number": "913-384-4093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHMIELEWSKI",
"first_name": "ALBERT",
"middle_name": "TOMASZ",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-28",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "MD-42839",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2021034754",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-39379",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merriam, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.