NPIMap

Individual provider Active NPI

James Edward Chlebowski, MD

  • Family Medicine Physician
  • Waldoboro, ME
National Provider Identifier
1639118458
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD27083 Issued in ME
Practice address
126 Depot St
Waldoboro, ME 04572-5913
Phone
(207) 832-6394
Fax
(207) 536-5162
NPI assigned
Jun 6, 2006
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD27083 ME Primary
Family Medicine Physician 207Q00000X MD047550L PA

Addresses

Primary practice location

126 Depot St
Waldoboro, ME 04572-5913

Mailing address

126 Depot St
Waldoboro, ME 04572-5913
Phone (207) 832-6394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230724002147 ME Practitioner - Family Practice 7113911793 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pittsburgh School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, shared by 31 NPIs, 2,616 clinicians

Practice addresses (Care Compare)

126 Depot St
Waldoboro, ME 04572-5913
Phone (207) 832-6394

22 Bramhall St
Portland, ME 04102-3134

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD27083MEMDFamily Medicine Physician
MD047550LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jul 31, 2023 Accepting new patients
Mainehealth CurrentSince Jul 31, 2023 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Family Medicine Past Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

25A June St
Sanford, ME 04073
Phone (207) 324-4310

592 W Main St
Waldoboro, ME 04572
Phone (207) 346-5066

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1639118458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 DEPOT ST",
            "city": "WALDOBORO",
            "state": "ME",
            "postal_code": "045725913",
            "telephone_number": "207-832-6394",
            "fax_number": "207-536-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 DEPOT ST",
            "city": "WALDOBORO",
            "state": "ME",
            "postal_code": "045725913",
            "telephone_number": "207-832-6394",
            "fax_number": "207-536-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHLEBOWSKI",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD27083",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD047550L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldoboro, ME

Sources for this page

Verify at the official NPI Registry.