DR. KELLI DENISE KOONS (M.D.) – Internal Medicine Physician, NPI 1134169295

DR. KELLI DENISE KOONS (M.D.) is a healthcare provider. based in Shawnee, Oklahoma. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 22002 (OK). The NPI Number for DR. KELLI DENISE KOONS (M.D.) is 1134169295

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLI DENISE KOONS (M.D.)
NPI
1134169295
Phone
(405) 273-5801
Address
PO BOX 849
Enumeration Date
7 June 2006
Last Update Date
30 August 2012

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
4057724130
Graduation Year
2000 (26 years ago)
PAC ID
7618965542
Group Practice PAC ID
7012914898
Professional Enrollment ID
I20040430001298
Address ID
OK730347649ED2749XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,474 INTERNAL MEDICINE in OK

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Provider Addresses for DR. KELLI DENISE KOONS (M.D.)

  • 849, Northeast 62nd Street, Topeka, Shawnee County, Kansas, 66617, United States

    SHAWNEE, OK 748020849

    Phone: (405) 273-5801

    Fax: (405) 878-3814

    Type: Mailing

  • SSM Health Saint Anthony Hospital - Shawnee Heliport, J D Kethley Road, Shawnee, Pottawatomie County, Oklahoma, 74804, United States

    SHAWNEE, OK 748049638

    Phone: (405) 273-5801

    Fax: (405) 878-3814

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 71 Open Payments records for all available years, with a total value of $1,226.

Total Amount is formed as General ($1,226) + Research ($0) + Ownership ($0) = $1,226.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($571).

Total Amount

$1,226

General + Research + Ownership

Payments

71

Total payment records

General Amount

$1,226

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2004-04-30

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
I20040430001298IInternal MedicineOKTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes606250$0
77067Screening mammography335335$0
77063Screening 3d breast mammography332332$0
77080Dxa bone density measurement of hip, pelvis, spine300300$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit230230$0
View full utilization report →

Insurance plans in this area (ZIP 74802)

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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: 7012914898View full group profile
NameSpecialtyState
Nurse PractitionerOK
Internal Medicine, Pediatric MedicineOK
U R O L O G YOK
Clinical Social WorkerOK
Physician AssistantOK
Family PracticeOK
Physician AssistantOK
Orthopedic SurgeryOK
Family PracticeOK
Family PracticeOK

Reviews

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Frequently asked questions

Can I cross-check DR. KELLI DENISE KOONS (M.D.) using NPI 1134169295?
NPI 1134169295 belongs to DR. KELLI DENISE KOONS (M.D.); compare other details if you need extra assurance.
Would DR. KELLI DENISE KOONS (M.D.) appear as active to a payer?
You can treat DR. KELLI DENISE KOONS (M.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. KELLI DENISE KOONS (M.D.)'s focus?
For DR. KELLI DENISE KOONS (M.D.), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. KELLI DENISE KOONS (M.D.) located near Shawnee?
DR. KELLI DENISE KOONS (M.D.) currently maps to Shawnee, Oklahoma in this extract.
When was this NPI issued?
Enumeration for DR. KELLI DENISE KOONS (M.D.) is noted as June 7, 2006 where the registry provides it.

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