Active NPI
Peter William Kluge, D.O.
- Interventional Cardiology Physician
- Eau Claire, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 57399
- Practice address
- 3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016 - Phone
- (715) 839-9280
- Fax
- (715) 839-6850
- NPI assigned
- May 1, 2007
- Last updated
- Dec 20, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 5101015668 | MI | |
| Cardiovascular Disease Physician | 207RC0000X | 3981 | IA | |
| Interventional Cardiology Physician | 207RI0011X | 57399 | WI | Primary |
Addresses
Primary practice location
3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016
Mailing address
719 W Hamilton Ave Ste B
Eau Claire, WI 54701-6970
Phone (715) 552-9784
Other practice location 1
855 Lakeland Dr
Chippewa Falls, WI 54729-1687
Phone (715) 839-9280
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pkluge42618@ewd.direct.hshs.org | Direct | |
| Direct Messaging Address | pkluge42618@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, UT, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
1301 Bertha Howe Ave
Suite 6
Mesquite, NV 89027-7503
Phone (435) 251-2500
1380 E Medical Ctr Dr
St George, UT 84790-2123
Phone (435) 251-1000
2650 N Tenaya Way
Suite 201
Las Vegas, NV 89128-1110
Phone (702) 736-7154
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 30 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101015668 | MI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Tomah Memorial Hospital Inc | Current | Accepting new patients | |
| Tomah Memorial Hospital Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Interventional Cardiology | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Tomah Memorial Hospital Inc | Current | Accepting new patients | |
| Eau Claire Medical Clinic, S.C. | Interventional Cardiology | Past | Accepting new patients |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
2650 N Tenaya Way
Ste 201
Las Vegas, NV 89128
Phone (702) 736-7154
1301 Bertha Howe Ave
Ste 6
Mesquite, NV 89027
Phone (702) 345-2650
110 W 1325 N
Ste 100
Cedar City, UT 84721
Phone (435) 251-2500
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181
Interoperability endpoints
- peter.kluge@cumberland-directmessage.com
- pkluge636393@direct.gundersenhealth.org
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Dixie Endo-Diabetes Clinic
- Endocrinology, Diabetes & Metabolism Physician
- St George, UT
- NPI 1679854863
NV
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
dba Tomah Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Tomah, WI
- NPI 1205978046
-
dba Intermountain Southwest Cardiology
- Interventional Cardiology Physician
- St George, UT
- NPI 1477698223
-
dba Intermountain North Sevier Medical Clinic
- Family Medicine Physician
- Salina, UT
- NPI 1538283163
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Internal Medicine Physician
- Eau Claire, WI
- NPI 1568487171
Interventional Cardiology
-
dba Orem Community Hospital Physicians
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health St. George Regional Hospital
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
-
dba Intermountain Health Cedar City Hospital
- General Acute Care Hospital
- Cedar City, UT
- NPI 1538178801
-
dba Grover C Dils Medical Center
- Critical Access Hospital
- Caliente, NV
- NPI 1659423341
-
dba Grover C Dils Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Caliente, NV
- NPI 1659595460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1861613523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 W HAMILTON AVE STE B",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547016970",
"telephone_number": "715-552-9784",
"fax_number": "715-835-6370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3802 OAKWOOD MALL DR",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547013016",
"telephone_number": "715-839-9280",
"fax_number": "715-839-6850"
}
],
"practiceLocations": [
{
"address_1": "855 Lakeland Dr",
"address_purpose": "LOCATION",
"city": "Chippewa Falls",
"state": "WI",
"postal_code": "547291687",
"country_code": "US",
"telephone_number": "715-839-9280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLUGE",
"first_name": "PETER",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "5101015668",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IA",
"license": "3981",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "WI",
"license": "57399",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pkluge42618@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "3802 Oakwood Mall Dr",
"city": "Eau Claire",
"state": "WI",
"country_code": "US",
"postal_code": "547013016",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pkluge42618@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "855 Lakeland Dr",
"city": "Chippewa Falls",
"state": "WI",
"country_code": "US",
"postal_code": "547291687",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.