Active NPI
Laura Koenig, M.D.
- Internal Medicine Physician
- Fort Atkinson, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 38038
- Practice address
- 500 McMillen St
Fort Atkinson, WI 53538-1233 - Phone
- (920) 563-5571
- Fax
- (920) 563-7705
- NPI assigned
- Jun 16, 2005
- Last updated
- Mar 7, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 38038 | WI | Primary |
Addresses
Primary practice location
500 McMillen St
Fort Atkinson, WI 53538-1233
Mailing address
500 McMillen St
Fort Atkinson, WI 53538-1233
Phone (920) 563-5571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32420500 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Healthcare Inc | Current | Accepting new patients | |
| Fort Healthcare Inc | Current | Accepting new patients |
Locations
704 Katie Ct
Cambridge, WI 53523
Phone (608) 423-1100
500 McMillen St
Fort Atkinson, WI 53538
Phone (920) 563-5571
512 Wilcox St
Fort Atkinson, WI 53538
Phone (920) 563-7366
611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667
1461 W Main St
Whitewater, WI 53190
Phone (262) 472-6839
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
- laura.koenig@direct.forthc.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology Physician
- Fort Atkinson, WI
- NPI 1417993361
-
- Rural Health Clinic/Center
- Fort Atkinson, WI
- NPI 1417450115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1700881869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 MCMILLEN ST",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535381233",
"telephone_number": "920-563-5571",
"fax_number": "920-563-7705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MCMILLEN ST",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535381233",
"telephone_number": "920-563-5571",
"fax_number": "920-563-7705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOENIG",
"first_name": "LAURA",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-16",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "38038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32420500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Atkinson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.