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

Dr. Kristofer Koenemann, DO

Individual provider Anesthesiology Physician · NPI 1588042121

Dr. Kristofer Koenemann, DO is an Anesthesiology in Tuscaloosa, Alabama. Qualified in 2019, 7 years ago. Practices with Blue Lake Health Springhill LLC, a 50-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
7
Licensed in
AL
In the registry since
2015
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.

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Practice location Address checks out

809 University Blvd E
Tuscaloosa, AL 35401-2029
Phone: (334) 279-1450
Fax: (334) 279-1660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 1979 (AL)

Record details

NPI number1588042121
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 15, 2015
Last updated in NPPESJuly 1, 2019
Mailing addressPo Box 934370, Atlanta, GA 31193-4370

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Blue Lake Health Springhill Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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