Individual provider Active NPI

Michael D Chmielewski, DPM

  • Foot Surgery Podiatrist
  • Gadsden, AL
National Provider Identifier
1457417693
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
232 Issued in AL
Practice address
230 S 4TH St
Gadsden, AL 35901-4214
Phone
(256) 549-7890
Fax
(256) 549-7891
NPI assigned
Dec 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 232 AL Primary

Addresses

Primary practice location

230 S 4TH St
Gadsden, AL 35901-4214

Mailing address

230 S 4TH St
Gadsden, AL 35901-4214
Phone (256) 549-7890

Other identifiers 1

IdentifierTypeStateIssuer
051558977MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070521000563 AL Practitioner - Podiatry 3476650748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Etowah Foot Specialists, Inc.Group PAC ID 7810097011, 2 clinicians

Practice addresses (Care Compare)

230 S 4TH St
Gadsden, AL 35901-4214
Phone (256) 549-7890

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
232ALMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Etowah Foot Specialists, Inc. Foot Surgery CurrentSince Apr 30, 2007 Accepting new patients
Gadsden Foot Clinic, P.C. Foot Surgery PastSince Aug 1, 2018 Accepting new patients

Locations

230 S 4th St
Gadsden, AL 35901
Phone (256) 549-7890

Organizations & group practices 2

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": "1167436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1457417693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S 4TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014214",
            "telephone_number": "256-549-7890",
            "fax_number": "256-549-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S 4TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014214",
            "telephone_number": "256-549-7890",
            "fax_number": "256-549-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHMIELEWSKI",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-30",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AL",
            "license": "232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051558977",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.