Individual provider Active NPI

Michael Allan Koning, MD

  • Anesthesiology Physician
  • Victor, MT
National Provider Identifier
1285893990
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
33984 Issued in CO
Practice address
2206 Middle Bear Creek Rd
Victor, MT 59875-0748
Phone
(406) 642-3958
NPI assigned
Jun 6, 2008
Last updated
Jun 6, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 33984 CO Primary
Anesthesiology Physician 207L00000X 11042 MT
Anesthesiology Physician 207L00000X 6334 ND
Anesthesiology Physician 207L00000X 20466 NE
Pain Medicine (Anesthesiology) Physician 207LP2900X 33984 CO
Pain Medicine (Anesthesiology) Physician 207LP2900X 11042 MT
Pain Medicine (Anesthesiology) Physician 207LP2900X 6334 ND
Pain Medicine (Anesthesiology) Physician 207LP2900X 20466 NE

Addresses

Primary practice location

2206 Middle Bear Creek Rd
Victor, MT 59875-0748

Mailing address

PO Box 748
Victor, MT 59875-0748
Phone (406) 642-3958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MP, ND, DE, CA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20130403000541 MP Practitioner - Anesthesiology 9133015878 Reassigns benefits to 1 organization
I20221019001333 ND Practitioner - Anesthesiology 9133015878 Reassigns benefits to 1 organization
I20230818000835 DE Practitioner - Anesthesiology 9133015878 Reassigns benefits to 1 organization
I20241127002788 CA Practitioner - Nurse Practitioner 9133015878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Nevada School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Delaware LLCGroup PAC ID 8022428416, 125 clinicians

Practice addresses (Care Compare)

1941 Limestone Rd
Suite 113
Wilmington, DE 19808-5413
Phone (302) 633-9873

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33984COMDAnesthesiology Physician
11042MTMDAnesthesiology Physician
6334NDMDAnesthesiology Physician
20466NEMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Healthcare Corporation CurrentSince Feb 10, 2013 Accepting new patients
Northstar Anesthesia of Delaware, LLC Anesthesiology CurrentSince Oct 5, 2023 Accepting new patients
Valley Regional Anesthesia Associates Inc Anesthesiology CurrentSince Oct 12, 2024 Accepting new patients
St. Joseph's Hospital and Health Center CurrentSince Aug 1, 2022 Accepting new patients
St Joseph's Hospital and Health Center Current Accepting new patients
St Josephs Hospital and Health Center CurrentSince Aug 1, 2022 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Feb 10, 2013 Accepting new patients

Locations

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1420 E Roseville Pkwy
Ste 100
Roseville, CA 95661
Phone (916) 677-2488

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

640 S State St
Dover, DE 19901
Phone (302) 744-4700

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

1941 Limestone Rd
Ste 113
Wilmington, DE 19808
Phone (302) 633-9873

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1285893990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748",
            "city": "VICTOR",
            "state": "MT",
            "postal_code": "598750748",
            "telephone_number": "406-642-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 MIDDLE BEAR CREEK RD",
            "city": "VICTOR",
            "state": "MT",
            "postal_code": "598750748",
            "telephone_number": "406-642-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONING",
        "first_name": "MICHAEL",
        "middle_name": "ALLAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "33984",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MT",
            "license": "11042",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ND",
            "license": "6334",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NE",
            "license": "20466",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CO",
            "license": "33984",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MT",
            "license": "11042",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "ND",
            "license": "6334",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NE",
            "license": "20466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victor, MT

Sources for this page

Verify at the official NPI Registry.