P Konicki, DO
P Konicki, DO is an Emergency Medicine Physician in Bloomington, IN, registered under NPI 1336152891. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 601 W 2ND ST, Bloomington, IN 47403. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 02005798A | IN | Emergency Medicine Physician primary |
| 036091309 | IL | Emergency Medical Services (Emergency… |
Licences are recorded in 2 states: IN, IL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
Licensed in 2 states
This provider holds licences in 2 states: Illinois and Indiana. The practice address on file is in Bloomington, IN, 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
- 036091309
- Specialty
- Emergency Medical Services (Emergency…
- Licence
- 02005798A
- Specialty
- Emergency Medicine Physician
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 Emergency Medicine covers
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. NUCC Health Care Provider Taxonomy, code 207P00000X
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 | |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine Physician | 02005798A | IN | primary |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician Emergency Medical Services | 036091309 | IL |
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 | 1336152891 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Aug 15, 2006 |
| Last updated | Oct 23, 2020 |
| Status | Active |
| Sole proprietor | No |
| Credential | DO |
| Practice address |
601 W 2ND ST Bloomington, IN 47403 (812) 353-5252 |
| Mailing address |
4440 W 95TH ST DEPARTMENT OF EMERGENCY MEDICINE Oak Lawn, IL 60453 |
| Other identifiers |
36091309
· Medicaid (IL) |
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 | 3 | 3 | 6 | 1 | 5 | 2 | 8 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 6 | 6 | 2 | 5 | 4 | 8 | 9 |
Sum = 69 · next multiple of 10 = 70 · check digit = 1 · actual last digit = 1
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.