KENNETH PECHTL MD
NPI 1467156018
Student in an Organized Health Care Education/Training Program in Wheaton, IL

Q: What is Kenneth Pechtl's NPI number?

The NPI number for Kenneth Pechtl is 1467156018. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Q: What is Kenneth Pechtl's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kenneth Pechtl was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 28, 2023PECOS Enrolled

26W171 ROOSEVELT RD, WHEATON, IL 60187(630) 909-7290 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2024, Jun 7, 2024, Apr 4, 2023 and 1 more (4 updates tracked since 2023).

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About Kenneth Pechtl Md NPPES

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

KENNETH PECHTL MD (NPI 1467156018) is an individual student in an organized health care education/training program in Wheaton, Illinois and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467156018

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKENNETH PECHTLCredential: MD

Location Address26W171 ROOSEVELT RDWheaton, IL 60187-6002

Mailing Address26w171 Roosevelt RdWheaton, IL 60187-6002 · (630) 909-7000

Phone(630) 909-7290

Sole ProprietorNo

Enumeration DateMarch 28, 2023

Last NPPES UpdateJuly 2, 20244 updates tracked since enumeration

NPPES CertifiedJuly 2, 2024

✔ NPI 1467156018 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.

26W171 ROOSEVELT RD, Wheaton, IL 60187

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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)

Kenneth Pechtl Md 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.

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.

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