Individual provider Active NPI

Craig S Koenig, M.D.

  • Allergy & Immunology Physician
  • Chesapeake, VA
National Provider Identifier
1609844398
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
0116016274 Issued in VA
Practice address
300 Medical Pkwy Ste 100
Chesapeake, VA 23320-4985
Phone
(757) 547-7702
Fax
(757) 548-2725
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 0116016274 VA Primary

Addresses

Primary practice location

300 Medical Pkwy Ste 100
Chesapeake, VA 23320-4985

Mailing address

300 Medical Pkwy Ste 100
Chesapeake, VA 23320-4985
Phone (757) 547-7702

Other identifiers 5

IdentifierTypeStateIssuer
CF1969OtherRAILROAD MEDICARE GROUP #
010288835MedicaidVA
C01592OtherVAMEDICARE GROUP #
1326022880OtherGROUP NPI#
1609844398OtherINDIVIDUAL NPI#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20060919000531 VA Practitioner - Allergy/Immunology 6901801281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Medical College of Wisconsin, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Asthma Specialists LTDGroup PAC ID 5496760522, 5 clinicians

Practice addresses (Care Compare)

155 Kingsley LN
Suite 210
Norfolk, VA 23505-4629
Phone (757) 583-4382

1704 Sir William Osler Dr
Virginia Beach, VA 23454-3003
Phone (757) 481-4383

300 Medical Pkwy
Suite 100
Chesapeake, VA 23320-4985
Phone (757) 547-7702

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
54.92 of 100Reported as group
Quality
82.86
Improvement activities
0
Cost
72.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116016274VAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy and Asthma Specialists, LTD. CurrentSince Jul 1, 2006 Accepting new patients

Locations

300 Medical Pkwy
Ste 100
Chesapeake, VA 23320
Phone (757) 547-7702

528 Albemarle Dr
Chesapeake, VA 23322
Phone (757) 547-5105

155 Kingsley Ln
Ste 210
Norfolk, VA 23505
Phone (757) 583-4382

1704 Sir William Osler Dr
Virginia Beach, VA 23454
Phone (757) 481-4383

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.

Hospital & facility affiliations 7

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1609844398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PKWY STE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204985",
            "telephone_number": "757-547-7702",
            "fax_number": "757-548-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PKWY STE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204985",
            "telephone_number": "757-547-7702",
            "fax_number": "757-548-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "CRAIG",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "VA",
            "license": "0116016274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "CF1969",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010288835",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "C01592",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI#",
            "identifier": "1326022880",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI#",
            "identifier": "1609844398",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.