Active NPI
Harold George Koenig, MD
- Psychiatry Physician
- Durham, NC
National Provider Identifier
1487738548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 32386
- Practice address
- 2100 Erwin Rd
Durham, NC 27710-0001 - Phone
- (919) 620-4467
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 32386 | NC | Primary |
Addresses
Primary practice location
2100 Erwin Rd
Durham, NC 27710-0001
Mailing address
2100 Erwin Rd
Duke University Medical Center - Dumc 3400
Durham, NC 27710-0001
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487738548 | Medicaid | NC | |
| 7685743 | Medicaid | NC | |
| F29774 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32386 | NC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients |
Locations
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111
2100 Erwin Rd
#3400
Durham, NC 27705
Interoperability endpoints
- hkoenig26202@direct.medicine.duke.edu
Organizations & group practices 1
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.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1487738548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 ERWIN RD",
"address_2": "DUKE UNIVERSITY MEDICAL CENTER - DUMC 3400",
"city": "DURHAM",
"state": "NC",
"postal_code": "277100001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 ERWIN RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277100001",
"telephone_number": "919-620-4467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOENIG",
"first_name": "HAROLD",
"middle_name": "GEORGE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "32386",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1487738548",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7685743",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "F29774",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.