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

Dr. Lisa Ruth Koenig, MD

Individual provider Ophthalmology Physician · NPI 1861020174

Dr. Lisa Ruth Koenig, MD is an Ophthalmology in New York, New York. Qualified in 2020, 6 years ago. Practices with MSKCC Surgery Group, a 365-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (212) 639-6507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 329209 (NY)

Record details

NPI number1861020174
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2020
Last updated in NPPESApril 17, 2025
Certification dateApril 11, 2025

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mskcc Surgery Group — 365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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