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DR. TILL PING WICHELHAUS M.D.
NPI 1285033167
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since August 17, 2014PECOS Enrolled
STONY BROOK UNI HOSPITAL DEPT OF FAMILY MED, LEVEL 4, ROOM 050, HSC, STONY BROOK, NY 11794(631) 444-8430(631) 444-7552 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Till Ping Wichelhaus M.d. NPPES

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

DR. TILL PING WICHELHAUS M.D. (NPI 1285033167) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285033167
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. TILL PING WICHELHAUSCredential: M.D.
Location AddressSTONY BROOK UNI HOSPITAL DEPT OF FAMILY MED, LEVEL 4, ROOM 050, HSCStony Brook, NY 11794-8461
Mailing AddressStony Brook Uni Hospital Dept Of Family Med, Level 4, Room 050, HscStony Brook, NY 11794-8461 · (631) 444-8430 · Fax (631) 444-7552
Phone(631) 444-8430
Fax(631) 444-7552
Sole ProprietorNo
Enumeration DateAugust 17, 2014
Last NPPES UpdateDecember 17, 2021
✔ NPI 1285033167 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
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.
STONY BROOK UNI HOSPITAL DEPT OF FAMILY MED, Stony Brook, NY 11794
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Till Ping Wichelhaus M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Till Wichelhaus's NPI number?

The NPI number for Till Wichelhaus is 1285033167. It was assigned to this individual provider in the NPPES registry on August 17, 2014.

Where is Till Wichelhaus located?

Till Wichelhaus practices at Stony Brook Uni Hospital Dept Of Family Med Level 4, Room 050, Hsc, Stony Brook, NY 11794. The listed phone number is (631) 444-8430.

What is Till Wichelhaus's specialty?

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

Is Till Wichelhaus enrolled in Medicare?

Yes. Till Wichelhaus is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Till Wichelhaus was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.