Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720171093 Individual Practitioner Male Practitioner

Dr. Michael G Koenig , MD

Pediatrics • Saint Louis, MO

Professional Overview & Biography Verified Profile Summary

Dr. Michael Koenig, MD is a registered healthcare professional specializing in Pediatrics in Saint Louis, MO. Practice services are available at 621 S NEW BALLAS RD STE 2003B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

621 S New Ballas Rd Ste 2003b

Saint Louis, MO 631418265

Telephone 3142515811
Fax 3142515812
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Saint Louis, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.3 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
461 Specialists

Practicing in Saint Louis, MO (1616 Statewide)

Telehealth Adoption Rate
0.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-05-06
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036136533

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MO 2010003226

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Pediatric Pulmonology

NUCC Taxonomy Code: 2080P0214X

State License MO 2010003226

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1720171093 (MO)
Medicaid State Provider ID
2484440 (OH)

Secondary Practice Locations

2 Terminal Dr Ste 8

East Alton, IL 620242294

Phone: 6182591419

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1336113901

Doctor of Medicine (M.D.)

NPI 1538133541

Doctor of Medicine (M.D.)

NPI 1740253418

Doctor of Medicine (M.D.)

NPI 1841266087

Doctor of Medicine (M.D.)

NPI 1861923195

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location May 06, 2024

Registered at 621 S NEW BALLAS RD STE 2003B, SAINT LOUIS, MO 631418265 (Tel: 3142515811)

📍
Updated Business Mailing Address May 06, 2024

Registered at PO BOX 776084, CHICAGO, IL 606776084 (Tel: 3142515811)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2024

Pediatrics (License #2010003226 in MO)

NPI Profile Active November 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 13, 2017

Registered at 2 TERMINAL DR STE 8, EAST ALTON, IL 620242294 (Tel: 6182591419)

📍
Updated Business Mailing Address November 13, 2017

Registered at 2 TERMINAL DR STE 8, EAST ALTON, IL 620242294 (Tel: 6182591419)

👤
Provider Name / Credentials Updated November 13, 2017

Recorded as MICHAEL KOENIG, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2017

Pediatrics (License #036136533 in IL)

📍
Updated Practice Location January 31, 2017

Registered at 550 LANDMARKS BLVD, ALTON, IL 620026321 (Tel: 6184630649)

📍
Updated Business Mailing Address January 31, 2017

Registered at 550 LANDMARKS BLVD, ALTON, IL 620026321 (Tel: 6184630649)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2017

Pediatrics (License #036136533 in IL)

NPI Profile Active January 02, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 02, 2014

Registered at 100 MEDICAL DR, HANNIBAL, MO 634016877 (Tel: 5732313853)

📍
Updated Business Mailing Address January 02, 2014

Registered at 100 MEDICAL DR, PO BOX 311, HANNIBAL, MO 634016877 (Tel: 5732313853)

👤
Provider Name / Credentials Updated January 02, 2014

Recorded as MICHAEL KOENIG, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2014

Pediatrics (License #2010003226 in MO)

🟢
Initial NPI Registration & Enumeration October 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Michael Koenig. Be the first to share your experience!

Sign in to leave a review for Dr. Michael Koenig

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1720171093
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 01, 2006
Last Update: May 06, 2024
Sole Proprietor: No

Mailing Address

Po Box 776084

Chicago, IL 606776084

Phone: 3142515811

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.