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

Ian Koonge, MS

Individual provider Physician Assistant · NPI 1649820705

Ian Koonge, MS is a Physician Assistant in Albany, New York. Qualified in 2019, 7 years ago. Practices with Capital Region Orthopaedic Associates, PC, a 67-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

315 S Manning Blvd
Albany, NY 12208-1707
Phone: (518) 525-1550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 024042 (NY)

Record details

NPI number1649820705
Entity typeIndividual (Type 1)
GenderMale
Credentials MS
Sole proprietorYes
NPI enumeratedSeptember 19, 2019
Last updated in NPPESSeptember 19, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Capital Region Orthopaedic Associates, Pc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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