DR. RENEE IRENE PETHTEL (D.C.) – Chiropractor, NPI 1760431977

DR. RENEE IRENE PETHTEL (D.C.) is a healthcare provider. based in Dearborn heights, Michigan. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 2301007287 (MI). The NPI Number for DR. RENEE IRENE PETHTEL (D.C.) is 1760431977

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. RENEE IRENE PETHTEL (D.C.)
NPI
1760431977
Phone
(313) 291-1060
Address
23610 VAN BORN RD
Enumeration Date
8 May 2006
Last Update Date
5 February 2024

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE - WEST
Secondary Phone
3132911060
Graduation Year
1996 (30 years ago)
PAC ID
8022029305
Group Practice PAC ID
2769493048
Professional Enrollment ID
I20060530000091
Address ID
MI481252356DE23610RDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,869 CHIROPRACTIC in MI

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Provider Addresses for DR. RENEE IRENE PETHTEL (D.C.)

  • 23610, Van Born Road, Dearborn Heights, Wayne County, Michigan, 48125, United States

    DEARBORN HEIGHTS, MI 481252356

    Phone: (313) 291-1060

    Fax: (313) 291-1089

    Mailing address matches the actual address.

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: 2006-05-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060530000091IChiropracticMITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98942Chiropractic manipulative treatment, 5 spinal regions27924$0
View full utilization report →

Insurance plans in this area (ZIP 48125)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769493048View full group profile
NameSpecialtyState
C H I R O P R A C T I CMI

Reviews

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Frequently asked questions

What federal number belongs to DR. RENEE IRENE PETHTEL (D.C.)?
The federal identifier for DR. RENEE IRENE PETHTEL (D.C.) is NPI 1760431977.
Is DR. RENEE IRENE PETHTEL (D.C.) currently active in the NPI registry?
CMS-published data lists DR. RENEE IRENE PETHTEL (D.C.) as an active registrant.
Does DR. RENEE IRENE PETHTEL (D.C.) list a primary specialty?
If you are matching referrals, note Chiropractor for DR. RENEE IRENE PETHTEL (D.C.). Clinical services aligned with this taxonomy classification.
Where is DR. RENEE IRENE PETHTEL (D.C.)'s primary listing?
We display Dearborn Heights, Michigan because that is what the record indicates for DR. RENEE IRENE PETHTEL (D.C.).
How can I contact DR. RENEE IRENE PETHTEL (D.C.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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