Individual provider Active NPI

Jonathan Conrad Koning, M.D.

  • Pain Medicine Physician
  • Plano, TX
National Provider Identifier
1710216841
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
Q0953 Issued in TX
Practice address
6020 W Parker Rd Ste 300
Plano, TX 75093-8177
Phone
(469) 252-4777
Fax
(469) 518-2156
NPI assigned
Dec 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Q0953 TX
Pain Medicine (Anesthesiology) Physician 207LP2900X Q0953 TX
Pain Medicine Physician 208VP0000X Q0953 TX Primary

Addresses

Primary practice location

6020 W Parker Rd Ste 300
Plano, TX 75093-8177

Mailing address

6020 W Parker Rd Ste 300
Plano, TX 75093-8177
Phone (469) 252-4777

Other practice location 1

11500 Hwy 121
bldg 400, suite 420
Frisco, TX 75035
Phone (469) 252-4777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20141203002101 TX Practitioner - Pain ManagementPractitioner - Anesthesiology 5597985127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Loma Linda University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians

Practice addresses (Care Compare)

6020 W Parker Rd
Suite 300
Plano, TX 75093-8177
Phone (469) 252-4777

6116 Lake Worth Blvd
Lake Worth, TX 76135-3703
Phone (817) 984-3260

Hospital & facility affiliations

  • Texas Health Hospital Frisco Hospital, Frisco, TX, CCN 670260

Merit-based Incentive Payment System (MIPS)

Final score
96.43 of 100Reported as individual
Quality
89.87
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q0953TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regen Pain Management, PLLC CurrentSince Jun 1, 2016 Accepting new patients
Regen Pain Management, PLLC Pain Medicine CurrentSince Jun 1, 2016 Accepting new patients
SP Anesthesia Consultants PLLC Anesthesiology PastSince Dec 8, 2017 Accepting new patients
RPM Anesthesia, PLLC Anesthesiology PastSince Sep 19, 2019 Accepting new patients
Anesthesia Services of Omaha LLC Anesthesiology Past Accepting new patients
United Ancillaries, PLLC Anesthesiology PastSince Apr 1, 2017 Accepting new patients

Locations

11500 State Highway 121
Ste 420
Frisco, TX 75035
Phone (469) 252-4777

5550 Warren Pkwy
Ste 110
Frisco, TX 75034
Phone (214) 440-1245

3575 Victory Group Way
Ste 100
Frisco, TX 75034

6020 W Parker Rd
Ste 300
Plano, TX 75093
Phone (469) 200-6461

Interoperability endpoints

  • Direct secure messaging: jkoning@rgpm.curemd.direct-ci.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 1

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": "1261267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1710216841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 W PARKER RD STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938177",
            "telephone_number": "469-252-4777",
            "fax_number": "469-518-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 W PARKER RD STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938177",
            "telephone_number": "469-252-4777",
            "fax_number": "469-518-2156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11500 Hwy 121",
            "address_2": "bldg 400, suite 420",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "75035",
            "country_code": "US",
            "telephone_number": "469-252-4777",
            "fax_number": "469-518-2156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONING",
        "first_name": "JONATHAN",
        "middle_name": "CONRAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-20",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "Q0953",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "Q0953",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "Q0953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.