Peter P. Koenig, M.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

A23943 Issued in CA

Practice address

4940 Van Nuys Blvd.
Suite 200
Sherman Oaks, CA 91403-1741

Phone

(818) 528-1222

Fax

(818) 528-1225

NPI assigned

May 12, 2006

Last updated

Jan 12, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Merit-based Incentive Payment System (MIPS)

Final score

65.67 of 100Reported as group

Quality

0

Promoting interoperability

92

Improvement activities

40

Cost

58.91

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Synergy Hematology Oncology Medical Associates Inc

  dba N/a

  • Specialist
  • West Hollywood, CA
  • NPI 1164455960
  Medicare reassignment NPD
• Peter P. Koenig, M.D., Incorporated

  • Endocrinology, Diabetes & Metabolism Physician
  • Sherman Oaks, CA
  • NPI 1063462521
  Authorized official Same address or phone
• Synergy Hematology Oncology Medical Associates, Inc.

  dba N/a

  • Specialist
  • Encino, CA
  • NPI 1477720613
  NPD

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1316997877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 VAN NUYS BLVD.",
            "address_2": "SUITE 200",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031741",
            "telephone_number": "818-528-1222",
            "fax_number": "818-528-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 VAN NUYS BLVD.",
            "address_2": "SUITE 200",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031741",
            "telephone_number": "818-528-1222",
            "fax_number": "818-528-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "PETER",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A23943",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A23943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316997877",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• KM Speech Therapy LLC
• Alison S Knapp, MSN, FNP-BC
• Andrew Kochan, MD
• Sanam Kochmeshky
• Ashley Christine Kodjo
• Alexandra Anne Kofsky, LMFT
• Liana Kogan
• Jonathan F Kohan, MD
• Sharona Sherry Kohanbash, PHARMACIST
• Lindsey Kohn, LMFT

• Endocrinology, Diabetes & Metabolism Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.