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DR. PETER MANDELERT IHLE M.D.
NPI 1720248958
Specialist in Fall Creek, WI

Active since June 11, 2008PECOS Enrolled
9891 DEWITZ RD, FALL CREEK, WI 54742(715) 877-1514(715) 877-3615 Get Directions Write a Review

NPPES record last updated: June 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Peter Mandelert Ihle M.d. NPPES

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

DR. PETER MANDELERT IHLE M.D. (NPI 1720248958) is an individual specialist in Fall Creek, Wisconsin, licensed in Wisconsin (16442-020) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720248958
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. PETER MANDELERT IHLECredential: M.D.
Location Address9891 DEWITZ RDFall Creek, WI 54742-9384
Mailing Address9891 Dewitz RdFall Creek, WI 54742-9384 · (715) 877-1514 · Fax (715) 877-3615
Phone(715) 877-1514
Fax(715) 877-3615
Sole ProprietorYes
Enumeration DateJune 11, 2008
✔ NPI 1720248958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WI · 16442-020
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
9891 DEWITZ RD, Fall Creek, WI 54742
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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. Peter Mandelert Ihle 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 Peter Ihle's NPI number?

The NPI number for Peter Ihle is 1720248958. It was assigned to this individual provider in the NPPES registry on June 11, 2008.

Where is Peter Ihle located?

Peter Ihle practices at 9891 Dewitz Rd, Fall Creek, WI 54742. The listed phone number is (715) 877-1514.

What is Peter Ihle's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Peter Ihle enrolled in Medicare?

Yes. Peter Ihle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Ihle was last updated on June 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.