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MR. KEVIN YAN KOENDERS PA-C
NPI 1003473273
Physician Assistant - Surgical in Newton, MA

Active since May 23, 2019PECOS EnrolledAccepts Medicare Assignment
2014 WASHINGTON ST, DEPARTMENT OF ORTHOPEDICS, NEWTON, MA 02462(617) 219-1674 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2025, Mar 26, 2021, Dec 2, 2020 and 3 more (6 updates tracked since 2019).

About Mr. Kevin Yan Koenders Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEVIN YAN KOENDERS PA-C (NPI 1003473273) is an individual surgical provider in Newton, Massachusetts, licensed in Illinois (085007593) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1003473273
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. KEVIN YAN KOENDERSCredential: PA-C
Location Address2014 WASHINGTON ST, DEPARTMENT OF ORTHOPEDICSNewton, MA 02462-1607
Mailing Address1200 S York St Ste 2000Elmhurst, IL 60126-5634 · (331) 221-9004 · Fax (331) 221-2748
Phone(617) 219-1674
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 23, 2019
Last NPPES UpdateOctober 6, 20256 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1003473273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in IL · 085007593
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA7466 (MA)
2014 WASHINGTON ST, Newton, MA 02462
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1119 Belmont StWorcester, MA 01605-2903 · Phone (508) 334-8515 · Fax (508) 334-6490
Location 21200 S York St Ste 2000Elmhurst, IL 60126-5634 · Phone (331) 221-9004 · Fax (331) 221-2748
Location 32650 Ridge AveEvanston, IL 60201-1700 · Phone (847) 570-2112 · Fax (847) 570-1041
Location 455 Lake Ave NWorcester, MA 01655-0002 · Phone (508) 334-8515 · Fax (508) 334-6490
Location 5780 Albany StBoston, MA 02118-2755 · Phone (857) 654-1000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kevin Yan Koenders Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547598773
PECOS Enrollment IDI20241022001650
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
36 services36 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number140200
Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County
Emergency services Birthing friendly

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREA L RUSSO M.D.
Radiology (Radiation Oncology)
2014 WASHINGTON ST
NEWTON, MA 02462
Middlesex County (617) 219-1200
MAUREEN LAVELLE LICSW
Social Worker (Clinical)
2014 WASHINGTON ST
NEWTON, MA 02462
Middlesex County (617) 243-6664
SHALYNN DOHERTY
Physician Assistant
2014 WASHINGTON ST
NEWTON, MA 02462
Middlesex County (617) 831-7100
NATHAN DANIEL BUCKLEY PA-C
Physician Assistant (Surgical)
2014 WASHINGTON ST
NEWTON, MA 02462
Middlesex County (617) 243-6000
DR. RONALD KENNETH PYE M.D.
Pediatrics (Neonatal-Perinatal Medicine)
2014 WASHINGTON ST, SCN 6 NORTH
NEWTON, MA 02462
Middlesex County (617) 243-6296
DR. TODD EARL ABBOTT M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
2014 WASHINGTON ST, NEWTON-WELLESLEY HOSPITAL
NEWTON, MA 02462
Middlesex County (434) 964-1637
DIANE MARIE POULIN RN,NP
Nurse Practitioner (Adult Health)
2014 WASHINGTON ST, NEWTON WELLESLEY HOSPITAL DEPT. OF ANESTHESIA
NEWTON, MA 02462
Middlesex County (617) 243-6298
CAROLINE STOWELL M.D.
Internal Medicine
2014 WASHINGTON ST, MEDICAL EDUCATION
NEWTON, MA 02462
Middlesex County (617) 243-6467

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Koenders's NPI number?

The NPI number for Kevin Koenders is 1003473273. It was assigned to this individual provider in the NPPES registry on May 23, 2019.

Where is Kevin Koenders located?

Kevin Koenders practices at 2014 Washington St Department Of Orthopedics, Newton, MA 02462. The listed phone number is (617) 219-1674.

What is Kevin Koenders's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kevin Koenders enrolled in Medicare?

Yes. Kevin Koenders is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kevin Koenders affiliated with any hospitals?

According to CMS data, Kevin Koenders is affiliated with Northshore University Healthsystem - Evanston Hospital, Elmhurst Memorial Hospital and Edward Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Koenders was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.