DR. JOSEPH KOENIGSMARK D.O.M.B.A. NPI 1437214731

NPI Information

NPI: 1437214731
Provider Name: DR. JOSEPH KOENIGSMARK, D.O.,M.B.A.
Classification: Family Medicine - 207QA0401X
Specialization: Addiction Medicine
Entity Type: Individual
PECOS Registration: Yes
Address: 407 ZINNIA WAY
SHEPHERDSVILLE, KY
ZIP 40165
Phone: (812) 288-8410

Map and Directions

Get Directions

NPI Details

DR. Joseph Koenigsmark, D.O.,M.B.A. is an addiction medicine family medicine in Shepherdsville, KY with 42 years of experience. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. DR. Joseph Koenigsmark, D.O.,M.B.A. NPI is 1437214731. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduation Year:1984

The provider's business location address is:

407 ZINNIA WAY
SHEPHERDSVILLE, KY
ZIP 40165-663
Phone: (812) 288-8410
Fax: (812) 288-8409

The NPI 1437214731 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 12/13/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0401X	Family Medicine	Addiction Medicine	02001067A	INDIANA	Yes
2	2084A0401X	Psychiatry & Neurology	Addiction Medicine	02001067A	INDIANA	No
3	207Q00000X	Family Medicine		02001067A	INDIANA	No
4	202C00000X	Independent Medical Examiner		02001067A	INDIANA	No
5	208VP0000X	Pain Medicine	Pain Medicine	02001067A	INDIANA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	11452445	OTHER	KENTUCKY	CAQH
2	64021611	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI