Hubert Martin Chodkiewicz, M.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

Q5371 Issued in TX

Practice address

200 S Lakeline Blvd Ste a
Cedar Park, TX 78613-2715

Phone

(512) 617-3000

Fax

(512) 572-5186

NPI assigned

Jul 12, 2012

Last updated

Feb 5, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

University of Texas Medical School at Houston, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Westlake Dermatology PAGroup PAC ID 6305817230, 52 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Westlake Dermatology PA

  • Dermatology Physician
  • Austin, TX
  • NPI 1518939347
  Medicare reassignment Care Compare group NPD
• Westlake Dermatology, PA

  • Dermatology Physician
  • Alamo Heights, TX
  • NPI 1265086045
  NPD
• Westlake Dermatology of San Antonio PLLC

  • Dermatology Physician
  • Alamo Heights, TX
  • NPI 1891346359
  NPD (past)
• Westlake Dermatology PA

  dba Westlake Dermatology

  • Dermatology Physician
  • Round Rock, TX
  • NPI 1477678993
  NPD (past)

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1265797427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S LAKELINE BLVD STE A",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132715",
            "telephone_number": "512-617-3000",
            "fax_number": "512-309-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S LAKELINE BLVD STE A",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132715",
            "telephone_number": "512-617-3000",
            "fax_number": "512-572-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHODKIEWICZ",
        "first_name": "HUBERT",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-12",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "Q5371",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "Q5371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Chiou, MOT, OTR/L
• Aryan Vinod Chirayath, RBT-26-2837911
• Chirofit, PLLC
• Noel Cho, LMFT, LPC
• Ryan Sung-Eun Cho, M.D.
• April Choi
• Stephanie Chow, PA-C
• CHP Isle at Cedar Ridge TX Tenant Corp. (Isle at Cedar Ridge)
• Chrissie Hartley, LCSW PLLC
• Jennifer Chu

• MOHS-Micrographic Surgery Physician in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• MOHS-Micrographic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.

Verify at the official NPI Registry.