DR. LEO KOENIG (MD) – Family Medicine Physician, NPI 1013967322

DR. LEO KOENIG (MD) is a healthcare provider. based in La grange, Illinois. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 36051868 (IL). The NPI Number for DR. LEO KOENIG (MD) is 1013967322

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
DR. LEO KOENIG (MD)
NPI
1013967322
Phone
(708) 245-8900
Address
1325 COMMUNITY MEMORIAL DR
Enumeration Date
10 May 2006
Last Update Date
19 March 2021

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
7082458900
Graduation Year
1974 (52 years ago)
PAC ID
6709949977
Group Practice PAC ID
2769790401
Professional Enrollment ID
I20090114000319

Contacts

Secure Messaging
leo.koenig.2@380.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DR. LEO KOENIG (MD)

  • 1325, Community Memorial Drive, La Grange, Lyons Township, Cook County, Illinois, 60525, United States

    LA GRANGE, IL 605252659

    Phone: (708) 245-8900

    Fax: (708) 245-5604

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $103.

Total Amount is formed as General ($103) + Research ($0) + Ownership ($0) = $103.

Last reported payment date: 2024-05-08 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($103).

Total Amount

$103

General + Research + Ownership

Payments

1

Total payment records

General Amount

$103

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-01-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090114000319IFamily PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6459$0
99214Established patient office or other outpatient visit, 30-39 minutes2724$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1515$0
View full utilization report →

Insurance plans in this area (ZIP 60525)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769790401View full group profile
NameSpecialtyState
Family PracticeIL
Family PracticeIL
Family PracticeIL
Family PracticeIL
-IL
-IL
Clinical PsychologistIL
-IL
Nurse PractitionerIL
Family Practice, Osteopathic Manipulative MedicineIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What unique ID ties claims to DR. LEO KOENIG (MD)?
NPI 1013967322 is assigned to DR. LEO KOENIG (MD) under the national enumeration system.
Is DR. LEO KOENIG (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. LEO KOENIG (MD)'s specialty in plain language?
Clinically, the directory lists DR. LEO KOENIG (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. LEO KOENIG (MD)?
We surface La Grange, Illinois for DR. LEO KOENIG (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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