Individual provider Active NPI

Richard Gabriel Koenig, D.O.

  • Clinical Pathology/Laboratory Medicine Physician
  • Franklin, IN
National Provider Identifier
1003250846
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
02005473A Issued in IN
Practice address
1125 W Jefferson St
Franklin, IN 46131-2140
Phone
(317) 736-3479
NPI assigned
Apr 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 02005473A IN Primary

Addresses

Primary practice location

1125 W Jefferson St
Franklin, IN 46131-2140

Mailing address

1125 W Jefferson St
Franklin, IN 46131-2140
Phone (317) 736-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181018003052 IN Practitioner - Pathology 2163662941 Reassigns benefits to 2 organizations
I20230921000158 KY Practitioner - Pathology 2163662941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Valley Pathologists PCGroup PAC ID 3971587973, 12 clinicians

Practice addresses (Care Compare)

1305 N Elm St
Henderson, KY 42420-2783
Phone (270) 827-7700

4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 842-2000

600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-5000

617 Oakley St
Evansville, IN 47710-1647
Phone (812) 450-5000

Hospital & facility affiliations

  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056
  • The Women'S Hospital Hospital, Newburgh, IN, CCN 150149
  • Gibson General Hospital Hospital, Princeton, IN, CCN 151319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Memorial Hospital CurrentSince Aug 19, 2018 Accepting new patients
Johnson Memorial Hospital CurrentSince Aug 19, 2018 Accepting new patients
Ohio Valley Pathologists PC CurrentSince Jun 1, 2023 Accepting new patients
Integrated Diagnostic Laboratory, LLC Past Accepting new patients

Locations

617 Oakley St
Evansville, IN 47710
Phone (812) 450-5000

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

1125 W Jefferson St
Franklin, IN 46131
Phone (317) 346-3858

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

4604 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-5000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1003250846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 W JEFFERSON ST",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461312140",
            "telephone_number": "317-736-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 W JEFFERSON ST",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461312140",
            "telephone_number": "317-736-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "RICHARD",
        "middle_name": "GABRIEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-23",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "IN",
            "license": "02005473A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, IN

Sources for this page

Verify at the official NPI Registry.