Individual provider Active NPI

Michael J Chmielewski, MD

  • Obstetrics & Gynecology Physician
  • Arlington, TX
National Provider Identifier
1659378388
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD058381L Issued in PA
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

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0994912000OtherINDEPENDENCE
3799012OtherAETNA
0015878910003MedicaidPA
232261120OtherCOMMERCIAL
30022252OtherOTHER HMO
000880815OtherBS
100769OtherOTHER BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031111000312 PA Practitioner - Obstetrics/Gynecology 7810800232 Reassigns benefits to 1 organization
I20200401000692 TX Practitioner - Obstetrics/GynecologyPractitioner - Neurosurgery 7810800232 Reassigns benefits to 1 organization

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
Obhg Texas Holdings PAGroup PAC ID 3577713072, 176 clinicians

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

LicenseStateTypeSpecialty
MD058381LPAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Jul 20, 2023 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Jun 17, 2023 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.