Mary C Koenigs, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35713 Issued in IA

Practice address

10988 Bartel Blvd
Galena, IL 61036-8222

Phone

(815) 777-0900

Fax

(815) 777-0903

NPI assigned

May 17, 2006

Last updated

Jun 26, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA, IL2 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

Specialty

Family Practice

Education

University of Iowa, RJ & L Carver College of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Associates Clinic P CGroup PAC ID 3870491228, 228 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• 24 Hour Care, LLC Home health agency, Galena, IL, CCN 148362
• Hospice of Dubuque Hospice, Dubuque, IA, CCN 161514
• Midwest Medical Center Hospital, Galena, IL, CCN 141302
• Mercyone Dubuque Medical Center Hospital, Dubuque, IA, CCN 160069

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Medical Associates Clinic P C

  • Multi-Specialty Clinic/Center
  • Dubuque, IA
  • NPI 1457300790

  IL

  Medicare reassignment Care Compare group NPD
• Genesis Medical Education Foundation Inc

  dba Genesis Family Medical Center

  • Family Medicine Physician
  • Davenport, IA
  • NPI 1659322931
  NPD (past)

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

• 24 Hour Care, L.L.C.

  • Home Health Agency
  • Galena, IL
  • NPI 1891084596
  Care Compare affiliation
• Midwest Medical Center

  • Clinic/Center
  • Elizabeth, IL
  • NPI 1295126944

  Hospital

  Care Compare affiliation
• Midwest Medical Center

  • Critical Access Hospital
  • Galena, IL
  • NPI 1952409765
  Care Compare affiliation
• Hospice of Dubuque

  • Community Based Hospice Care Agency
  • Dubuque, IA
  • NPI 1801890892
  Care Compare affiliation
• Mercy Medical Center-Dubuque

  dba MercyOne Dubuque Medical Center

  • General Acute Care Hospital
  • Dubuque, IA
  • NPI 1659348506
  Care Compare affiliation

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1053363903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ASSOCIATES DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "52002",
            "telephone_number": "563-584-4100",
            "fax_number": "563-584-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10988 BARTEL BLVD",
            "city": "GALENA",
            "state": "IL",
            "postal_code": "610368222",
            "telephone_number": "815-777-0900",
            "fax_number": "815-777-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIGS",
        "first_name": "MARY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "35713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0422626",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jo Daviess County Health Department
• Jo Daviess County Health Department
• Patrick Lynn Jung, M.D.
• Kelly Sue Kent, MA CCC SLP
• Melissa Kindred, APRN
• Kreider Services Incorporated
• Amanda Jean Kriebs
• Cara R Leppellere, MD
• Lloyd Callaway, Jr., M.D., S.C.
• Andrew Loeffelholz, PT, DPT

• Family Medicine Physician in Galena, IL
• Providers in Galena, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.