DAVID M. KOENIG (CRNA) – Certified Registered Nurse Anesthetist, NPI 1972849404

DAVID M. KOENIG (CRNA) is a healthcare provider. based in Jefferson, Massachusetts. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN2282787 (MA). The NPI Number for DAVID M. KOENIG (CRNA) is 1972849404

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DAVID M. KOENIG (CRNA)
NPI
1972849404
Phone
Not provided
Address
52 NICHOLS ST
Enumeration Date
3 January 2013
Last Update Date
17 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2095365000
Graduation Year
2012 (14 years ago)
PAC ID
5496990541
Group Practice PAC ID
7315911567
Professional Enrollment ID
I20191204002921
Address ID
CA953705200SO1000XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,311 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MA

Provider Addresses for DAVID M. KOENIG (CRNA)

  • 52 NICHOLS ST

    JEFFERSON, MA 015221581

    Phone:

    Type: Mailing

  • 55 LAKE AVE N

    DEPARTMENT OF ANESTHESIOLOGY

    WORCESTER, MA 016550002

    Phone: (508) 334-3271

    Fax: (508) 856-5911

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-12-04

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
I20191204002921ICertified Registered Nurse Anesthetist (Crna)CATBD

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
00811Anesthesia for other procedure on large bowel using an endoscope3737$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)3029$0
76942Ultrasonic guidance for needle placement2726$0
64450Injection of anesthetic agent and/or steroid into other nerve or branch2726$0
64415Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)2323$0
View full utilization report →

Insurance plans in this area (ZIP 01522)

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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: 7315911567View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNV
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YNV
Certified Registered Nurse Anesthetist (Crna)UT
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)CA
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)CA
A N E S T H E S I O L O G YNV

Reviews

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Frequently asked questions

How is DAVID M. KOENIG (CRNA) identified in CMS data?
CMS-hosted NPPES data lists DAVID M. KOENIG (CRNA) with NPI 1972849404.
Can I rely on DAVID M. KOENIG (CRNA) being an active provider?
As of the registry snapshot, DAVID M. KOENIG (CRNA) is marked active.
What is DAVID M. KOENIG (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for DAVID M. KOENIG (CRNA) here. Clinical services aligned with this taxonomy classification.
What area does DAVID M. KOENIG (CRNA) serve?
DAVID M. KOENIG (CRNA)'s listing highlights Jefferson, Massachusetts; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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