Active NPI
Ronald James Koch Jr., M.D.
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Mountain View, CA
National Provider Identifier
1568876142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- A49942
- Practice address
- 525 South Dr Ste 115
Mountain View, CA 94040-4211 - Phone
- (650) 969-5600
- Fax
- (650) 969-0360
- NPI assigned
- Jun 11, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | A49942 | CA | Primary |
Addresses
Primary practice location
525 South Dr Ste 115
Mountain View, CA 94040-4211
Mailing address
525 South Dr Ste 115
Mountain View, CA 94040-4211
Phone (650) 969-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 16, 2023 through Feb 16, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49942 | CA | MD | Marriage & Family Therapist |
| A49942 | CA | MD | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522713600000",
"number": "1568876142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 SOUTH DR STE 115",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940404211",
"telephone_number": "650-969-5600",
"fax_number": "650-969-0360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 SOUTH DR STE 115",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940404211",
"telephone_number": "650-969-5600",
"fax_number": "650-969-0360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "RONALD",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-11",
"last_updated": "2018-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "CA",
"license": "A49942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.