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

NPI Status: Active since June 11, 2008

Contact Information

9891 DEWITZ RD
FALL CREEK, WI
ZIP 54742
Phone: (715) 877-1514
Fax: (715) 877-3615

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  • Individual
  • Male
  • Specialist
  • PECOS Enrolled

About PETER IHLE

This page provides the complete NPI Profile along with additional information for Peter Ihle, a provider established in Fall Creek, Wisconsin with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1720248958 assigned on June 2008. The practitioner's primary taxonomy code is 174400000X with license number 16442-020 (WI). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1720248958
Provider Name
DR. PETER MANDELERT IHLE M.D.
Gender
Male
Entity Type
Individual
Location Address
9891 DEWITZ RD FALL CREEK, WI 54742
Location Phone
(715) 877-1514
Location Fax
(715) 877-3615
Mailing Address
9891 DEWITZ RD FALL CREEK, WI 54742
Mailing Phone
(715) 877-1514
Mailing Fax
(715) 877-3615
Is Sole Proprietor?
Yes
Enumeration Date
06-11-2008
Last Update Date
06-11-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
16442-020
License State
WI
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Peter Ihle is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720248958
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27404416910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 4 + 4 + 1 + 6 + 9 + 1 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1720248958 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720248958, enumerated in the NPI registry as an "individual" on June 11, 2008

The provider is located at 9891 Dewitz Rd Fall Creek, Wi 54742 and the phone number is (715) 877-1514

The provider's speciality is Specialist with taxonomy code 174400000X

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on June 11, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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