TYNISHA MARIE KOENIGSAECKER MD
NPI 1033761028
Pediatrics - Neonatal-Perinatal Medicine in Tucson, AZ

Q: What is Tynisha Koenigsaecker's NPI number?

The NPI number for Tynisha Koenigsaecker is 1033761028. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Q: What is Tynisha Koenigsaecker's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Active since July 10, 2019PECOS Enrolled

1625 N CAMPBELL AVE, TUCSON, AZ 85719(520) 626-4152 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 3, 2026, Jul 10, 2019 (2 updates tracked since 2019).

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About Tynisha Marie Koenigsaecker Md NPPES

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

TYNISHA MARIE KOENIGSAECKER MD (NPI 1033761028) is an individual neonatal-perinatal medicine provider in Tucson, Arizona, licensed in Arizona (79635) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2020).

NPPES Registry Identity

NPI1033761028

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameTYNISHA MARIE KOENIGSAECKERCredential: MD

Location Address1625 N CAMPBELL AVETucson, AZ 85719-4330

Mailing Address1625 N Campbell AveTucson, AZ 85719-4330

Phone(520) 626-4152

Sole ProprietorNo

Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2020

Enumeration DateJuly 10, 2019

Last NPPES UpdateApril 3, 20262 updates tracked since enumeration

NPPES CertifiedApril 3, 2026

✔ NPI 1033761028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in AZ · 79635

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

1625 N CAMPBELL AVE, Tucson, AZ 85719

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tynisha Marie Koenigsaecker Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092174854

PECOS Enrollment IDI20260612003028

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.

Medicare Billing Reassignments

Medicare enrollment records show Tynisha Koenigsaecker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Banner-University Medical Group

5.1 mi

Nutrition, Education

535 N WILMOT RD STE 101
Tucson, AZ 85711

Reassigned Medicare billing, Arizona enrollment
1,514 clinicians in this Medicare group

NPI 1932708328 (520) 694-5437

University Hospitals Medical Group Inc

1,737 mi

Multi-Specialty

11100 EUCLID AVE
Cleveland, OH 44106

Reassigned Medicare billing, Ohio enrollment
3,958 clinicians in this Medicare group

NPI 1669499414 (216) 844-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KATELYN DESALVO MD

Pediatrics