NPIMap

Individual provider Active NPI

Karl Marc Koenig, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Austin, TX
National Provider Identifier
1659483865
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
Q6953 Issued in TX
Practice address
1400 N Ih 35
Paul Bass Clinic
Austin, TX 78701-1926
Phone
(512) 495-5675
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 12999 NH
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X Q6953 TX Primary

Addresses

Primary practice location

1400 N Ih 35
Paul Bass Clinic
Austin, TX 78701-1926

Mailing address

1400 Barbara Jordan Blvd
Ste 1.114
Austin, TX 78723-3092

Other identifiers 2

IdentifierTypeStateIssuer
30206851MedicaidNH
1013235MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160621000916 TX Practitioner - Orthopedic Surgery 4789683236 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Baylor College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The University of Texas at AustinGroup PAC ID 2668559436, 154 clinicians

Practice addresses (Care Compare)

1601 Trinity St
Austin, TX 78712-1765
Phone (833) 882-2737

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement29
Knee replacement44
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince May 14, 2016 Accepting new patients
University of Texas at Austin Dell Medical School CurrentSince Oct 1, 2017 Accepting new patients
Seton Family of Doctors CurrentSince May 14, 2016 Accepting new patients
University of Texas at Austin Dell Medical School CurrentSince Oct 1, 2017 Accepting new patients
University Health Services Past Accepting new patients
Central Vermont Medical Center Inc Past Accepting new patients

Locations

1601 Trinity St
Austin, TX 78712
Phone (833) 882-2737

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

4616 W Howard Ln
Austin, TX 78728
Phone (224) 558-8613

Interoperability endpoints

  • Direct secure messaging: karl.koenig.1@16041.direct.athenahealth.com

Organizations & group practices 6

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 4

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1659483865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BARBARA JORDAN BLVD",
            "address_2": "STE 1.114",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N IH 35",
            "address_2": "PAUL BASS CLINIC",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011926",
            "telephone_number": "512-495-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "KARL",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NH",
            "license": "12999",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "TX",
            "license": "Q6953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30206851",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013235",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.