Individual provider Active NPI

Peter William Kluge, D.O.

  • Interventional Cardiology Physician
  • Eau Claire, WI
National Provider Identifier
1861613523
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
57399 Issued in WI
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, NV3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20121019000391 WI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2961552062 Reassigns benefits to 2 organizations
I20240118003186 UT Practitioner - Interventional Cardiology 2961552062 Reassigns benefits to 1 organization
I20240708001911 NV Practitioner - Interventional Cardiology 2961552062 Reassigns benefits to 1 organization

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 IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

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

ProcedureNumber of procedures
Coronary angioplasty and stenting30
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101015668MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Dec 31, 2023 Accepting new patients
Tomah Memorial Hospital Inc Current Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Jan 1, 2015 Accepting new patients
Ihc Health Services Inc Interventional Cardiology CurrentSince Apr 20, 2024 Accepting new patients
Ihc Health Services Inc CurrentSince Dec 31, 2023 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Jan 1, 2015 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

  • Direct secure messaging: peter.kluge@cumberland-directmessage.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.