Helen Koenig, MD
NPI 1558309104 · Infectious Disease Physician · Philadelphia, PA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Helen Koenig, MD is a Infectious Disease Physician provider in Philadelphia, PA (NPI 1558309104).
Provider details
- NPI number
- 1558309104
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD 428223 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
265 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 81 | $146 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 64 | $118 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 57 | $17 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 26 | $185 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 20 | $175 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 24 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Bictegrav/Emtricit/Tenofov Alabrand: Biktarvy | 147 | 15 |
| Cabotegravir/Rilpivirinebrand: Cabenuva | 73 | 12 |
| Abacavir/Dolutegravir/Lamivudibrand: Triumeq | 57 | — |
| Valacyclovir Hclbrand: Valacyclovir | 48 | 14 |
| Elviteg/Cob/Emtri/Tenof Alafenbrand: Genvoya | 42 | — |
| Doxycycline Monohydrate | 41 | 12 |
| Methenamine Hippurate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$67 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-04
- Last updated
- 2013-12-11
Frequently asked questions
- What is Helen Koenig's NPI number?
- Helen Koenig's National Provider Identifier (NPI) is 1558309104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Helen Koenig's specialty?
- Helen Koenig is listed in the NPPES registry with a primary specialty of Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Helen Koenig located?
- Helen Koenig's practice location on file with NPPES is 3400 Spruce Street, Philadelphia, PA 19104-4206.
- What is Helen Koenig's phone number?
- The practice phone number listed in the NPPES registry for Helen Koenig is (215) 662-6932.
- Does Helen Koenig accept Medicare?
- Helen Koenig is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Helen Koenig's NPI active?
- Yes — Helen Koenig's NPI (1558309104) is active in the NPPES registry as of the last update on 2013-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.