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

Gary David Koenig, MD

Individual provider Gastroenterology Physician · NPI 1861485724

Gary David Koenig, MD is a Gastroenterology in Hazelwood, Missouri. Graduated from Saint Louis University School of Medicine in 1986, 40 years ago. Practices with Physician Groups Lc, a 524-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
40
Trained at
Saint Louis University School of Medicine
Licensed in
MO
In the registry since
2005
Specialties on file
2
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

100 Village Sq
Hazelwood, MO 63042-1820
Phone: (314) 355-4010
Fax: (314) 355-9484
Show map & directions

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

Additional practice locations (1)

  • 20 Progress Point Pkwy Ste 206, O Fallon, MO 63368-2207 — (636) 344-1073

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence MDR3G44 (MO)
Gastroenterology Physician Taxonomy 207RG0100X · Licence RG344 (MO)

Record details

NPI number1861485724
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 25, 2005
Last updated in NPPESFebruary 16, 2026
Certification dateFebruary 16, 2026
Mailing addressPo Box 23340, Saint Louis, MO 63156-3340

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1986 (40 years in practice)
Group practice Physician Groups Lc — 524 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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