Dylan Koenig, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1500 Sandpoint Rd
Munising, MI 49862-1406

Phone

(906) 387-4110

NPI assigned

Dec 21, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Munising Memorial Hospital AssociationGroup PAC ID 9830170372, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Woods Home Nursing Home health agency, Manistique, MI, CCN 237182
• Munising Memorial Hospital Hospital, Munising, MI, CCN 231308
• Uphs Marquette DLP Hospital Hospital, Marquette, MI, CCN 230054

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Munising Memorial Hospital Association

  • Family Medicine Physician
  • Munising, MI
  • NPI 1629120415
  Medicare reassignment Care Compare group NPD (past)
• Munising Memorial Hospital Association

  • Family Medicine Physician
  • Autrain, MI
  • NPI 1205673241

  Physician Assistant

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• DLP Marquette General Hospital LLC

  • General Acute Care Hospital
  • Marquette, MI
  • NPI 1568727048
  Care Compare affiliation
• Munising Memorial Hospital Association

  • Critical Access Hospital
  • Munising, MI
  • NPI 1417035536
  Care Compare affiliation
• North Woods Home Nursing

  • Home Health Agency
  • Manistique, MI
  • NPI 1659379097
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1780156232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SANDPOINT RD",
            "city": "MUNISING",
            "state": "MI",
            "postal_code": "498621406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SANDPOINT RD",
            "city": "MUNISING",
            "state": "MI",
            "postal_code": "498621406",
            "telephone_number": "906-387-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "DYLAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-21",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian G. Kagey II, P.T.A.
• Robert C Kamp II, PA-C
• Kareem Said MD
• Bonnie Lou Kilpela, P.A.
• Joshua David Kocha, P.A.-C
• Derek Lowell Kolbus, D.C.
• Michelle R Kroupa-Kulik, MD
• Christine M Krueger, M.D.
• Cheri Lare, LLMSW
• Zachary Thomas Leveque, LLMSW

• Physician Assistant in Munising, MI
• Providers in Munising, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.