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KEVIN MARK KOENIG MD
NPI 1801240965
Student in an Organized Health Care Education/Training Program in Orange, CA

Active since April 14, 2016PECOS Enrolled
101 THE CITY DR S, RTE. 128-01, ORANGE, CA 92868(714) 456-5239 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin Mark Koenig Md NPPES

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

KEVIN MARK KOENIG MD (NPI 1801240965) is an individual student in an organized health care education/training program in Orange, California and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801240965
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEVIN MARK KOENIGCredential: MD
Location Address101 THE CITY DR S, RTE. 128-01Orange, CA 92868-3201
Mailing Address101 The City Dr S, Rte. 128-01Orange, CA 92868-3201 · (714) 456-5239
Phone(714) 456-5239
Sole ProprietorYes
Enumeration DateApril 14, 2016
Last NPPES UpdateNovember 29, 2021
NPPES CertifiedNovember 29, 2021
✔ NPI 1801240965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

101 THE CITY DR S, Orange, CA 92868
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Mark 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.

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. ANKIT BHUPENDRA PATEL D.O.
Radiology (Diagnostic Radiology)
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-5113
DR. LAURA CATHERINE SKOCZYLAS MD
Obstetrics & Gynecology
101 THE CITY DR S, BUILDING 56, DEPARTMENT OF OB/GYN
ORANGE, CA 92868
Orange County (714) 456-8224
MICHAEL CHENG DO
Internal Medicine (Rheumatology)
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-7110
AESTHETIC AND PLASTIC SURGERY INSTITUTE
Plastic Surgery
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-2986
JOSEPH VILLARREAL M.D.
Emergency Medicine
101 THE CITY DR S, BUILDING 1A, ROOM 1009
ORANGE, CA 92868
Orange County (714) 456-5239
DEMI TRAN
Psychiatry & Neurology (Neurology)
101 THE CITY DR S, CITY TOWER, SUITE 400
ORANGE, CA 92868
Orange County (171) 456-6693
DR. ISABEL CARLTON CLARK M.D.
Surgery (Trauma Surgery)
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-7890
DYLAN LUKATO
Emergency Medicine
101 THE CITY DR S
ORANGE, CA 92868
Orange County (415) 218-8041

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 Koenig's NPI number?

The NPI number for Kevin Koenig is 1801240965. It was assigned to this individual provider in the NPPES registry on April 14, 2016.

Where is Kevin Koenig located?

Kevin Koenig practices at 101 The City Dr S Rte. 128-01, Orange, CA 92868. The listed phone number is (714) 456-5239.

What is Kevin Koenig's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kevin Koenig enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kevin Koenig was last updated on November 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.