Individual provider Active NPI

Viktoria Koskenoja, M.D.

  • Emergency Medicine Physician
  • Boston, MA
National Provider Identifier
1205102852
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301109033 Issued in MI
Practice address
75 Francis Street
Boston, MA 02115
Phone
(617) 732-8070
NPI assigned
Mar 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 251512 MA
Student in an Organized Health Care Education/Training Program 390200000X MA
Emergency Medicine Physician 207P00000X 4301109033 MI Primary

Addresses

Primary practice location

75 Francis Street
Boston, MA 02115

Mailing address

1025 W Washington St Ste a
Marquette, MI 49855-4031
Phone (906) 239-5050

Other practice location 1

1025 W Washington St Ste A
Marquette, MI 49855-4031
Phone (906) 239-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20160802000605 MI Practitioner - Emergency Medicine 6305091984 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marquette Medical PLLCGroup PAC ID 7416300793, 8 clinicians
Baraga County Memorial HospitalGroup PAC ID 7416866611, shared by 6 NPIs, 17 clinicians

Practice addresses (Care Compare)

1025 W Washington St a
Marquette Medical
Marquette, MI 49855-4031
Phone (906) 239-5050

18341 US Hwy 41
Lanse, MI 49946-8024
Phone (906) 524-3320

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
251512MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Marquette Physician Practices Inc CurrentSince Jul 15, 2016 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Jul 15, 2016 Accepting new patients
Baraga County Memorial Hospital Emergency Medicine CurrentSince May 15, 2023 Accepting new patients
Marquette Medical PLLC Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Baraga County Memorial Hospital Current Accepting new patients
Baraga County Memorial Hospital CurrentSince May 15, 2023 Accepting new patients
Baraga County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients

Locations

18341 US Highway 41
Lanse, MI 49946
Phone (906) 524-3300

2833 US Highway 41 W
Marquette, MI 49855

1025 W Washington St
Ste A
Marquette, MI 49855
Phone (906) 239-5050

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

Organizations & group practices 7

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 1

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": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1205102852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W WASHINGTON ST STE A",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554031",
            "telephone_number": "906-239-5050",
            "fax_number": "906-239-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "617-732-8070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 W Washington St Ste A",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498554031",
            "country_code": "US",
            "telephone_number": "906-239-5050",
            "fax_number": "906-239-5055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSKENOJA",
        "first_name": "VIKTORIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "251512",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301109033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.