DOUGLAS MARK IKELHEIMER (MD) – Neurology Physician, NPI 1508979519
Neurology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,367 PSYCHIATRY in IL
Provider Addresses for DOUGLAS MARK IKELHEIMER (MD)
1005 Broadway St
Quincy, IL 623012834
Phone: (217) 223-1200
Fax: (217) 224-9383
Type: Location
424 Savannah Rd
Lewes, DE 199581462
Phone: (302) 645-3499
Fax: (302) 644-4830
Type: Location
8700 Beverly Blvd
West Hollywood, CA 900481804
Phone: (310) 423-3465
Fax: (310) 423-8397
Type: Location
1020 First Colonial Rd Ste A
Virginia Beach, VA 234543078
Phone: (757) 395-1850
Type: Location
1500 Commonwealth Ave
Williamsburg, VA 231855229
Phone: (757) 585-2250
Fax: (757) 903-2285
Type: Location
Denver Health Medical Center, 777, Bannock Street, Lincoln Park, Denver, Denver County, Colorado, 80204, United States
MC 7782
DENVER, CO 802044507
Phone: (303) 436-6000
Type: Location
205 S Front St Fl 5
Harrisburg, PA 171041619
Phone: (717) 231-8360
Fax: (717) 231-8358
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-05-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 11 Medicare enrollment records; no due dates published yet.
Enrollment records
11
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041206000996 | I | Psychiatry | CO | TBD |
| I20140224001017 | I | Psychiatry | NC | TBD |
| I20150529002621 | I | Psychiatry | WA | TBD |
| I20171201002744 | I | Psychiatry | MT | TBD |
| I20181113001982 | I | Psychiatry | IL | TBD |
| I20200402001117 | I | Psychiatry | NJ | TBD |
| I20210119001213 | I | Psychiatry | VA | TBD |
| I20220112001848 | I | Psychiatry | FL | TBD |
| I20220411002526 | I | Psychiatry | CA | TBD |
| I20220420002024 | I | Psychiatry | DE | TBD |
| I20220505000334 | I | Psychiatry | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | VA | |
| G A S T R O E N T E R O L O G Y | GA | |
| Marriage And Family Therapist | NY | |
| Clinical Psychologist | VA | |
| Physical Medicine And Rehabilitation | MD | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| - | VA | |
| - | VA | |
| U R O L O G Y | VA | |
| Nurse Practitioner | MD |
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