Matthew James Baechle, MD
Internal Medicine in Cheyenne, WY. Individual provider (NPI-1).
NPI number1194354613
StatusActive
Last updated in NPPESNov 11, 2024
Details
- NPI
- 1194354613
- Entity type
- Individual (NPI-1)
- Name
- Matthew James Baechle
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2020
- Certification date
- Nov 11, 2024
- Last updated
- Nov 11, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 16107A | WY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
214 E 23rd StCheyenne, WY 82001-3748
Phone 307-432-6629 · Fax 307-996-4525
Mailing address
Po Box 20970Cheyenne, WY 82003-7020
Phone 307-634-2273
Other practice locations
3100 Channing Way
Idaho Falls, ID 83404-7533
Idaho Falls, ID 83404-7533
Phone 208-569-8020
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