Kevin Koenders, PA-C
Kevin Koenders, PA-C is a Surgical Physician Assistant in Newton, MA, registered under NPI 1003473273. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
Here is what surrounds this office in Newton, based on OpenStreetMap data collected Sep 1, 2026. Parking is available about 0.52 mi away at Riverside Parking Lot (A). There is EV charging 0.50 mi from the office (Tesla Supercharger) — useful if you are driving in from out of town. The nearest transit stop is 1,024 ft away, served by Woodland MBTA Train Station. If you arrive early, there is a coffee shop 0.50 mi away.
Getting here and what is nearby
Parking 382 ft ~2 min
2000 Washington Street
Transit Woodland MBTA Station 788 ft ~3 min
Transit Newton-Wellesley Hospital 808 ft ~4 min
Transit Woodland MBTA Train Station 1,024 ft ~4 min
Parking Woodland Garage 0.23 mi ~5 min
Restaurant BOKX 109 American Prime 0.32 mi ~7 min
Gas station Gulf 0.47 mi ~10 min
EV charging ChargePoint 0.49 mi ~10 min
Convenience Gulf Express 0.49 mi ~10 min
Restaurant McDonald's 0.49 mi ~10 min
Coffee Honey Dew 0.50 mi ~10 min
EV charging Tesla Supercharger 0.50 mi ~10 min
Parking Riverside Parking Lot (A) 0.52 mi ~11 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 085007593 | IL | Surgical Physician Assistant primary |
| PA7466 | MA | Physician Assistant |
Licences are recorded in 2 states: IL, MA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Physician Assistant
- PAC ID
- 0547598773
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Massachusetts | I20201102002044 | Practitioner - Physician Assistant |
| Illinois | I20241022001650 | Practitioner - Physician Assistant |
Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. There are 2 separate enrolment records across 2 states (MA, IL). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Illinois and Massachusetts. The practice address on file is in Newton, MA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- PA7466
- Specialty
- Physician Assistant
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Surgical covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363AS0400X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363AS0400X | Surgical Physician Assistant Surgical | 085007593 | IL | primary |
| 363A00000X | Physician Assistant | PA7466 | MA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003473273 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 23, 2019 |
| Last updated | Oct 6, 2025 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Credential | PA-C |
| Practice address |
2014 WASHINGTON ST DEPARTMENT OF ORTHOPEDICS Newton, MA 02462 (617) 219-1674 |
| Mailing address |
1200 S YORK ST STE 2000 Elmhurst, IL 60126 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 4 | 7 | 3 | 2 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 8 | 7 | 6 | 2 | 5 |
Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.