Active NPI
Brandon J Koenigsknecht, MD
- Emergency Medicine Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34877
- Practice address
- 1145 S Utica Ave Ste 600
Tulsa, OK 74104-4070 - Phone
- (918) 579-1000
- NPI assigned
- Apr 9, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 34877 | OK | Primary |
Addresses
Primary practice location
1145 S Utica Ave Ste 600
Tulsa, OK 74104-4070
Mailing address
1145 S Utica Ave Ste 600
Tulsa, OK 74104-4070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Colorado School of Medicine, Denver, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1202 N Muskogee PL
Claremore, OK 74017-3058
Phone (918) 341-2556
1400 W 4TH St
Coffeyville Medical Center Emerg Dept
Coffeyville, KS 67337-3306
Phone (620) 251-1200
Hospital & facility affiliations
- Saint Francis Hospital, Inc
- Hillcrest Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.83 of 100
- Quality
- 81.24
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 83.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 56.64
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.51 of 100
- Quality
- 84.87
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34877 | OK | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of Tulsa County, LLC | Emergency Medicine | Current | Accepting new patients |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Green Country Emergency Physicians Group of Tulsa PLLC | Emergency Medicine | Current | Accepting new patients |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Ies ER Oklahoma LLC | Emergency Medicine | Current | Accepting new patients |
| Ahs Hillcrest Medical Center, LLC | Past | Accepting new patients | |
| Saint Francis Hospital, Inc. | Past | Accepting new patients |
Locations
1400 W 4th St
Coffeyville, KS 67337
Phone (620) 251-1200
1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000
1202 N Muskogee Pl
Claremore, OK 74017
Phone (918) 341-2556
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000
Dept 1467
Tulsa, OK 74182
Dept 1038
Tulsa, OK 74182
1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1972698553
KS
-
- Clinic/Center
- Muskogee, OK
- NPI 1366593923
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1003098773
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1447148093
-
- General Acute Care Hospital
- Okmulgee, OK
- NPI 1033511480
-
- Clinic/Center
- Muskogee, OK
- NPI 1922873611
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1497218242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 S UTICA AVE STE 600",
"city": "TULSA",
"state": "OK",
"postal_code": "741044070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 S UTICA AVE STE 600",
"city": "TULSA",
"state": "OK",
"postal_code": "741044070",
"telephone_number": "918-579-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOENIGSKNECHT",
"first_name": "BRANDON",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-09",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "34877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.