Nathalie Koenig, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS 6856 Issued in FL

Practice address

5480 Griffin Rd
Davie, FL 33314-4539

Phone

(954) 210-9770

NPI assigned

Aug 5, 2006

Last updated

Mar 4, 2026By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Family Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nathalie.koenig.1@29601.direct.athenahealth.com

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.

• Conviva Medical Center Management LLC

  dba Conviva Care Center

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1649324278

  Family Medicine

  Medicare reassignment Care Compare group NPD
• South Florida Cardiology Associates LLC

  • Cardiovascular Disease Physician
  • Sarasota, FL
  • NPI 1649704651
  Medicare reassignment NPD
• South Florida Cardiology Associates LLC

  • Cardiovascular Disease Physician
  • Pembroke Pines, FL
  • NPI 1104930379
  NPD
• Miami Lakes Medical Center Associates, P.a.

  • Family Medicine Physician
  • Hialeah, FL
  • NPI 1679758817
  NPD (past)
• Pembroke Pines Medical Center

  • Family Medicine Physician
  • Pembroke Pines, FL
  • NPI 1588849723
  NPD (past)
• South Florida Cardiology Associates LLC

  • Cardiovascular Disease Physician
  • North Bay Village, FL
  • NPI 1306802038
  NPD (past)
• South Florida Medical Centers, Inc

  dba SFMC Group of Oakland Park

  • Family Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1548471345
  NPD (past)
• South Florida Medical Centers, Inc

  dba SFMC Group of Lauderhill

  • Family Medicine Physician
  • Lauderhill, FL
  • NPI 1962611251
  NPD (past)

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

• South Broward Hospital District

  dba Memorial Hospital West

  • General Acute Care Hospital
  • Pembroke Pines, FL
  • NPI 1134102080
  Care Compare affiliation

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1063421675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 GRIFFIN RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144539",
            "telephone_number": "954-210-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "NATHALIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS 6856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379837200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nathalie.koenig.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5480 Griffin Rd",
            "city": "Davie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333144539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kocher & Kocher Dentistry PA
• Michael Kocher, DMD
• Jodi Kodish-Stav, D.D.S.
• Milton Opoku Kodom
• Maria D Koelig Romero, BCBA
• Aubrey Kohler
• Julia Lynn Kohler
• Divya Kohli, BDS, MDS
• Morey J Kolber, P.T.
• Keith Jude Kolesar, M.S.,CCC-SLP

• Family Medicine Physician in Davie, FL
• Providers in Davie, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.