Peter Koenig PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA0004394 Issued in CO

Practice address

2200 E 104TH Ave Ste 115
Thornton, CO 80233-4402

Phone

(303) 452-2766

Fax

(303) 252-8694

NPI assigned

Sep 10, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Colorado Physician Partners, PLLC

  • Family Medicine Physician
  • Centennial, CO
  • NPI 1376140137
  Medicare reassignment NPD
• Alpine Medical Group Colorado PLLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1104501873
  Medicare reassignment

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1326416140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E 104TH AVE STE 115",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802334402",
            "telephone_number": "303-452-2766",
            "fax_number": "303-252-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E 104TH AVE STE 115",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802334402",
            "telephone_number": "303-452-2766",
            "fax_number": "303-252-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG PA-C",
        "first_name": "PETER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA0004394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine Knapp
• Rebecca Knight
• Anna Si Knipscheer
• Jenna Knutson
• Annette Rose Koch, CAC III- COLORADO
• Allan Carl Koenig, M.D.
• Brittany Kohl, PHARMD
• Samantha Kohn-Bardelman
• Meghann Kohtz, PHARMD
• Alexandra Rose Kolar

• Medical Physician Assistant in Thornton, CO
• Providers in Thornton, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.