DR. DOUGLAS WILLIAM KOENKE D.D.S.
NPI 1942288865
Dentist - General Practice in Sterling Heights, MI

Q: What is Douglas Koenke's NPI number?

The NPI number for Douglas Koenke is 1942288865. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Q: What is Douglas Koenke's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Koenke was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.

Active since January 03, 2006PECOS Enrolled

42850 SCHOENHERR RD, SUITE 5, STERLING HEIGHTS, MI 48313(586) 566-0088(586) 566-0568 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Douglas William Koenke D.d.s. NPPES

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

DR. DOUGLAS WILLIAM KOENKE D.D.S. (NPI 1942288865) is an individual general practice provider in Sterling Heights, Michigan, licensed in Michigan (13000) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942288865

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. DOUGLAS WILLIAM KOENKECredential: D.D.S.

Location Address42850 SCHOENHERR RD, SUITE 5Sterling Heights, MI 48313-2875

Mailing Address42850 Schoenherr Rd, Suite 5Sterling Heights, MI 48313-2875 · (586) 566-0088 · Fax (586) 566-0568

Phone(586) 566-0088

Fax(586) 566-0568

Sole ProprietorYes

Enumeration DateJanuary 3, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1942288865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 13000

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

42850 SCHOENHERR RD, Sterling Heights, MI 48313

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Other Identifiers 1

Other13000MI · Dental License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas William Koenke D.d.s. 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 48313 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

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

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

DOUGLAS W. KOENKE, D.D.S.

Dentist

42850 SCHOENHERR RD, SUITE 5
STERLING HEIGHTS, MI 48313

Macomb County (586) 566-0088

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 Douglas Koenke's NPI number?

The NPI number for Douglas Koenke is 1942288865. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Douglas Koenke located?

Douglas Koenke practices at 42850 Schoenherr Rd Suite 5, Sterling Heights, MI 48313. The listed phone number is (586) 566-0088.

What is Douglas Koenke's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Douglas Koenke enrolled in Medicare?

Yes. Douglas Koenke is registered in the Medicare PECOS enrollment system.

What insurance does Douglas Koenke accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Douglas Koenke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas Koenke was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.