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PETER H BROEKELSCHEN MD INC
NPI 1861501561
Internal Medicine - Gastroenterology in Newport Beach, CA

Active since August 29, 2006
1441 AVOCADO AVE, SUITE 607, NEWPORT BEACH, CA 92660(949) 759-1042(949) 759-0143 Get Directions Write a Review

NPPES record last updated: April 23, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Peter H Broekelschen Md Inc NPPES

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

PETER H BROEKELSCHEN MD INC (NPI 1861501561) is a healthcare organization registered as a gastroenterology in Newport Beach, California and active in the NPI registry since August 2006. The organization lists Peter H Broekelschen, President Owner, as its authorized official.

NPPES Registry Identity

NPI1861501561
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NamePETER H BROEKELSCHEN MD INC
Location Address1441 AVOCADO AVE, SUITE 607Newport Beach, CA 92660
Mailing Address1441 Avocado Ave, Suite 607Newport Beach, CA 92660 · (949) 759-1042 · Fax (949) 759-0143
Phone(949) 759-1042
Fax(949) 759-0143
Organization SubpartNo
Authorized OfficialPeter H BroekelschenPresident Owner · (949) 759-1042
Enumeration DateAugust 29, 2006
Last NPPES UpdateApril 23, 2008
✔ NPI 1861501561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CA · A25076
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1441 AVOCADO AVE, Newport Beach, CA 92660
Open in Google Maps ↗

Other Identifiers 2

Medicare PINW21501
Medicare UPINA24275

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter H Broekelschen Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Peter H Broekelschen MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Peter Broekelschen, MD
Gastroenterology
NPI 1366631525
1441 AVOCADO AVE STE 607
Newport Beach, CA 92660
(949) 759-1042
✔ PECOS0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 H Broekelschen MD Inc's NPI number?

The NPI number for Peter H Broekelschen MD Inc is 1861501561. It was assigned to this organization in the NPPES registry on August 29, 2006.

Where is Peter H Broekelschen MD Inc located?

Peter H Broekelschen MD Inc is located at 1441 Avocado Ave Suite 607, Newport Beach, CA 92660. The listed phone number is (949) 759-1042.

What is Peter H Broekelschen MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Peter H Broekelschen MD Inc enrolled in Medicare?

Yes. Peter H Broekelschen MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peter H Broekelschen MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Peter H Broekelschen MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Peter H Broekelschen MD Inc was last updated on April 23, 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.