Active NPI
Michael J Chmielewski, MD
- Obstetrics & Gynecology Physician
- Arlington, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD058381L
- Practice address
- 3201 Matlock Rd Ste 220
Arlington, TX 76015-2947 - Phone
- (469) 506-1671
- NPI assigned
- Jul 7, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD058381L | PA | Primary |
Addresses
Primary practice location
3201 Matlock Rd Ste 220
Arlington, TX 76015-2947
Mailing address
3201 Matlock Rd Ste 220
Arlington, TX 76015-2947
Phone (469) 506-1671
Other practice location 1
317 E Ovilla Rd Ste 200
Red Oak, TX 75154-3878
Phone (469) 506-1671
Other practice location 2
670 Lawn Ave
Su 4
Sellersville, PA 18960-1571
Phone (215) 257-0414
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0994912000 | Other | INDEPENDENCE | |
| 3799012 | Other | AETNA | |
| 0015878910003 | Medicaid | PA | |
| 232261120 | Other | COMMERCIAL | |
| 30022252 | Other | OTHER HMO | |
| 000880815 | Other | BS | |
| 100769 | Other | OTHER BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 W Randol Mill Rd
Arlington, TX 76012-2504
Phone (800) 967-2289
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD058381L | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Obhg Texas Holdings, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients | |
| Texas Health Arlington Memorial Hospital | Past | Accepting new patients |
Locations
1111 Franklin St
Ste 300
Johnstown, PA 15905
Phone (814) 534-9203
1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736
800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
Interoperability endpoints
- https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/
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 and National Provider Directory roles.
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-
- Internal Medicine Physician
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- NPI 1205242609
-
- General Acute Care Hospital
- Arlington, TX
- NPI 1174533343
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1659378388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 MATLOCK RD STE 220",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760152947",
"telephone_number": "469-506-1671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 MATLOCK RD STE 220",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760152947",
"telephone_number": "469-506-1671"
}
],
"practiceLocations": [
{
"address_1": "317 E Ovilla Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Red Oak",
"state": "TX",
"postal_code": "751543878",
"country_code": "US",
"telephone_number": "469-506-1671",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "670 Lawn Ave",
"address_2": "SU 4",
"address_purpose": "LOCATION",
"city": "Sellersville",
"state": "PA",
"postal_code": "189601571",
"country_code": "US",
"telephone_number": "215-257-0414",
"fax_number": "215-257-1740",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHMIELEWSKI",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD058381L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE",
"identifier": "0994912000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3799012",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015878910003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "232261120",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER HMO",
"identifier": "30022252",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS",
"identifier": "000880815",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER BS",
"identifier": "100769",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.