Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Justin Jacob Koenig, DO

Individual provider Surgery Physician · NPI 1821314360

Dr. Justin Jacob Koenig, DO is a General Surgery in South Bend, Indiana. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2010, 16 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
16
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
IN
In the registry since
2010
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

621 Memorial Dr Ste 502
South Bend, IN 46601
Phone: (574) 647-5875
Fax: (574) 647-5878
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1020 High Rd, Bremen, IN 46506-1093 — (574) 309-9967
  • 500 Arcade Ave Ste 320, Elkhart, IN 46514-2477 — (574) 522-6565

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 02005590A (IN)

Record details

NPI number1821314360
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 8, 2010
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025
Mailing address3245 Health Dr Ste 100, Granger, IN 46530-1380

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2010 (16 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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