EARL R KOENIG MD
NPI 1083679070
Urology in Utica, MI

Active since April 20, 2006PECOS Enrolled
11051 HALL RD, SUITE 200, UTICA, MI 48317(586) 254-5759(586) 254-5793 Get Directions Write a Review

NPPES record last updated: July 28, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Earl R Koenig Md NPPES

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

EARL R KOENIG MD (NPI 1083679070) is an individual urology provider in Utica, Michigan, licensed in Michigan (4301030802) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083679070
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameEARL R KOENIGCredential: MD
Location Address11051 HALL RD, SUITE 200Utica, MI 48317-5735
Mailing Address20952 E 12 Mile Rd, Suite 200St Clair Shores, MI 48081-3200 · (586) 771-4820 · Fax (586) 771-6620
Fax(586) 254-5793
Sole ProprietorNo
Enumeration DateApril 20, 2006
Last NPPES UpdateJuly 28, 2008
NPI 1083679070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in MI · 4301030802
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

11051 HALL RD, Utica, MI 48317

Other Identifiers 8

Other340019484MI · Railroad Medicare
Other102426MI · Priority Health
Medicare PIN0E06273028MI
Medicare UPINB45210MI
Other4391724MI · Aetna
Medicare NSC0219690010MI
OtherB45210MI · Hap
Other5259095001MI · Cigna

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Earl R Koenig Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48317 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

Urology
11051 HALL RD, SUITE 200
UTICA, MI 48317
Obstetrics & Gynecology
11051 HALL RD, SUITE 110
UTICA, MI 48317
Internal Medicine (Hematology & Oncology)
11051 HALL RD, SUITE 120
UTICA, MI 48317
Durable Medical Equipment & Medical Supplies
11051 HALL RD, SUITE 200
UTICA, MI 48317
Durable Medical Equipment & Medical Supplies
11051 HALL RD, STE 240
UTICA, MI 48317
Obstetrics & Gynecology
11051 HALL RD, SUITE 110
UTICA, MI 48317
Non-Pharmacy Dispensing Site
11051 HALL RD, STE 120
UTICA, MI 48317
Obstetrics & Gynecology
11051 HALL RD, SUITE 110
UTICA, MI 48317

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 Earl Koenig's NPI number?

The NPI number for Earl Koenig is 1083679070. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Earl Koenig located?

Earl Koenig practices at 11051 Hall Rd Suite 200, Utica, MI 48317. The listed phone number is (586) 254-5759.

What is Earl Koenig's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Earl Koenig enrolled in Medicare?

Yes. Earl Koenig is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Earl Koenig was last updated on July 28, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.