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JACOB CHMIELECKI MD
NPI 1104613280
Student in an Organized Health Care Education/Training Program in El Paso, TX

Active since April 22, 2025
4801 ALBERTA AVE, EL PASO, TX 79905(915) 215-5200 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob Chmielecki Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB CHMIELECKI MD (NPI 1104613280) is an individual student in an organized health care education/training program in El Paso, Texas, licensed in Texas (BP10094802) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1104613280
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB CHMIELECKICredential: MD
Location Address4801 ALBERTA AVEEl Paso, TX 79905-2707
Mailing Address4801 Alberta AveEl Paso, TX 79905-2707
Phone(915) 215-5200
Sole ProprietorYes
Enumeration DateApril 22, 2025
Last NPPES UpdateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1104613280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in TX · BP10094802
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4801 ALBERTA AVE, El Paso, TX 79905
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH JEFFREY MILLER
Nurse Practitioner (Family)
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-5400
DR. ANDREW JONATHEN ORTEGA DO
Internal Medicine (Gastroenterology)
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-5200
DR. AMRO ALI YASSIN-AWAD MD
Emergency Medicine
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-4625
MAJD HAWWAR
Student in an Organized Health Care Education/Training Program
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-8000
NATHALIA ARREDONDO APRN
Nurse Practitioner (Acute Care)
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-5300
CARA OGOCHUKWU ORJI MD
Student in an Organized Health Care Education/Training Program
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-8000
ELVIA MARTINEZ LSW/CPW
Case Manager/Care Coordinator
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 545-6990
SCOTT DIESTE
Emergency Medicine
4801 ALBERTA AVE, STE. B3200
EL PASO, TX 79905
El Paso County (915) 215-4600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Chmielecki's NPI number?

The NPI number for Jacob Chmielecki is 1104613280. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Where is Jacob Chmielecki located?

Jacob Chmielecki practices at 4801 Alberta Ave, El Paso, TX 79905. The listed phone number is (915) 215-5200.

What is Jacob Chmielecki's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacob Chmielecki was last updated on August 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.