Individual provider Active NPI

Michal Jan Sobieszczyk, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Fort Sam Houston, TX
National Provider Identifier
1174817092
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
R8666 Issued in TX
Practice address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone
(210) 916-2460
NPI assigned
Jun 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101254645 VA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 0101254645 VA
Pulmonary Disease Physician 207RP1001X 0101254645 VA
Pulmonary Disease Physician 207RP1001X R8666 TX
Student in an Organized Health Care Education/Training Program 390200000X
Critical Care Medicine (Internal Medicine) Physician 207RC0200X R8666 TX Primary

Addresses

Primary practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Mailing address

3551 Roger Brooke Drive, McHe-QD (Creds)
Fort Sam Houston, TX 78234-4504

Other practice location 1

Wramc Bldg 2 Rm 2G01
6900 Georgia Ave, NW
Washington, DC 20307-0001
Phone (617) 460-6628

Other practice location 2

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200914001195 TX Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary DiseasePractitioner - Hospitalist 0648403345 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Uniformed Services Uhs Fe Hebert School of Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medicine AssociatesGroup PAC ID 7719979509, 590 clinicians
Gulf Coast Intensivists, PLLCGroup PAC ID 2264896364, 39 clinicians

Practice addresses (Care Compare)

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000

600 Elizabeth St
Corpus Christi, TX 78404-2235
Phone (361) 881-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R8666TXMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Health Science Center at San Antonio CurrentSince Feb 1, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Southeast Texas Intensivists, PLLC Critical Care Medicine CurrentSince May 1, 2024 Accepting new patients
University of Texas Health Science Center at San Antonio Internal Medicine Current Accepting new patients
Gulf Coast Intensivists, PLLC Critical Care Medicine CurrentSince Sep 1, 2023 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Feb 1, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Internal Medicine CurrentSince Nov 5, 2020 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Nov 5, 2020 Accepting new patients
Community Medicine Associates Internal Medicine CurrentSince Dec 28, 2023 Accepting new patients
TMH Physician Associates PLLC Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Cepamerica Texas PA Critical Care Medicine CurrentSince Nov 15, 2022 Accepting new patients
TMH Physician Associates PLLC CurrentSince Jun 1, 2021 Accepting new patients
Cepamerica Texas PA Critical Care Medicine CurrentSince Nov 15, 2022 Accepting new patients

Locations

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

6565 Fannin St
Ste B452
Houston, TX 77030
Phone (713) 441-3620

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: msobieszczyk622669@uhssa.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1174817092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DRIVE, MCHE-QD (CREDS)",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-2460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Wramc Bldg 2 Rm 2G01",
            "address_2": "6900 Georgia Ave, NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "203070001",
            "country_code": "US",
            "telephone_number": "617-460-6628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4502 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294402",
            "country_code": "US",
            "telephone_number": "210-358-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOBIESZCZYK",
        "first_name": "MICHAL",
        "middle_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101254645",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VA",
            "license": "0101254645",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101254645",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "R8666",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "R8666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.