Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Justin Jacob Koenig, DO

Surgery Physician in South Bend, IN · enumerated 2010 · practices at Beacon Medical Group, Inc..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1821314360

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Registry record

Entity type Individual (Type 1)

Name Dr. Justin Jacob Koenig

Credential DO

Sex Male

Practice address 621 Memorial Dr Ste 502, South Bend, IN, 46601

Phone (574) 647-5875

Fax (574) 647-5878

Enumeration date Apr 8, 2010

Last updated in NPPES Dec 1, 2025

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 02005590A (IN) Primary

DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier	Type	State	Issuer
300024549	Medicaid	IN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Justin Koenig?

The National Provider Identifier (NPI) for Justin Koenig is 1821314360, a Type 1 (individual) record in the CMS NPPES registry.

Where does Justin Koenig practice?

The practice location on file with NPPES is in South Bend, IN. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-01.