DANIEL ALBERT CIESLAK M.D. NPI 1255744652

NPI Information

  • NPI: 1255744652
  • Provider Name: DANIEL ALBERT CIESLAK, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 49TH MEDICAL GROUP/SGOPF
    280 FIRST STREET, BLDG 23
    HOLLOMAN AFB, NM
    ZIP 88330
  • Phone: (575) 572-7091

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NPI Details

Daniel Albert Cieslak, M.D. is a family medicine in Holloman Afb, NM with 12 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Daniel Albert Cieslak, M.D. NPI is 1255744652. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF WISCONSIN
Graduation Year:2014

The provider's business location address is:

49TH MEDICAL GROUP/SGOPF
280 FIRST STREET, BLDG 23
HOLLOMAN AFB, NM
ZIP 88330-273
Phone: (575) 572-7091
Fax: (575) 572-2259

The NPI 1255744652 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)

The enumeration date for this NPI number is 6/4/2014 and was last updated on 4/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine28880NEBRASKAYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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