Individual provider Active NPI

Melissa D Koenig, MD

  • Orthopaedic Surgery Physician
  • Denver, CO
National Provider Identifier
1629142450
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
EMC0000089 Issued in MI
Practice address
2045 Franklin St
Denver, CO 80205-5437
Phone
(303) 338-4545
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 46819 CO
Orthopaedic Surgery Physician 207X00000X M4249 TX
Orthopaedic Surgery Physician 207X00000X EMC0000089 MI Primary

Addresses

Primary practice location

2045 Franklin St
Denver, CO 80205-5437

Mailing address

2045 Franklin St
Denver, CO 80205-5437
Phone (303) 338-4545

Other practice location 1

1711 S Stephenson Ave Ste 100
Iron Mountain, MI 49801-3648
Phone (906) 776-5250

Other identifiers 2

IdentifierTypeStateIssuer
24427055MedicaidCO
019289OtherCOKAISER COMMERCIAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NE, MN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200121001112 MI Practitioner - Orthopedic Surgery 8628160801 Reassigns benefits to 4 organizations
I20210202003013 NE Practitioner - Orthopedic Surgery 8628160801 Reassigns benefits to 1 organization
I20251014003392 MN Practitioner - Orthopedic Surgery 8628160801 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1711 S Stephenson Ave
Iron Mountain, MI 49801-3648
Phone (906) 776-5810

1721 S Stephenson Ave
Iron Mountain, MI 49801-3637
Phone (906) 774-1313

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46819COMDLicensed Practical Nurse
M4249TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Dickinson County Healthcare System Orthopaedic Surgery CurrentSince Jan 27, 2020 Accepting new patients
County of Murray CurrentSince Aug 1, 2025 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Oct 1, 2022 Accepting new patients
County of Murray CurrentSince Aug 1, 2025 Accepting new patients
Regional West Physicians Clinic Orthopaedic Surgery CurrentSince Sep 1, 2022 Accepting new patients
Aspirus Keweenaw Current Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1711 S Stephenson Ave
Ste 100
Iron Mountain, MI 49801
Phone (906) 776-5250

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

2042 Juniper Ave
Slayton, MN 56172
Phone (507) 836-1227

3911 Avenue B
Ste 1100
Scottsbluff, NE 69361
Phone (308) 630-1355

3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355

Interoperability endpoints

  • Direct secure messaging: melissa.koenig.1@30093.direct.athenahealth.com
  • Direct secure messaging: melissa.koenig.1@22710.direct.athenahealth.com

Organizations & group practices 7

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 2

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1629142450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 FRANKLIN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055437",
            "telephone_number": "303-338-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 FRANKLIN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055437",
            "telephone_number": "303-338-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1711 S Stephenson Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Iron Mountain",
            "state": "MI",
            "postal_code": "498013648",
            "country_code": "US",
            "telephone_number": "906-776-5250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "MELISSA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "46819",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "M4249",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "EMC0000089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24427055",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "019289",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.