Individual provider Active NPI

Ralph Maximillian Koenker, M.D.

  • Diagnostic Radiology Physician
  • Greenbrae, CA
National Provider Identifier
1891734265
Registry record updated Jun 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G60981 Issued in CA
Practice address
250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone
(415) 925-7000
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X G60981 CA
Diagnostic Radiology Physician 2085R0202X G60981 CA Primary
Vascular & Interventional Radiology Physician 2085R0204X G60981 CA

Addresses

Primary practice location

250 Bon Air Rd
Greenbrae, CA 94904-1702

Mailing address

PO Box 6102
Novato, CA 94948-6102
Phone (415) 884-3418

Other practice location 1

180 Rowland Way
Novato, CA 94945-5009
Phone (415) 290-1500

Other identifiers 4

IdentifierTypeStateIssuer
00G609810MedicaidCA
300121787OtherCARAILROAD MEDICARE
00G609810OtherCABLUE SHIELD
300035771OtherCARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060209000255 CA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 4789582909 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of California, San Diego School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prima Medical FoundationGroup PAC ID 6406040138, 30 clinicians
California Advanced Imaging Medical Associates IncGroup PAC ID 0244144228, 85 clinicians

Practice addresses (Care Compare)

1240 S Eliseo Dr
Suite 103
Greenbrae, CA 94904-2026
Phone (415) 925-7301

1260 S Elideo Dr
Greenbrae, CA 94904-2009

1350 S Elideo Dr
Greenbrae, CA 94904-2011

1701 4TH St
Suite 120
Santa Rosa, CA 95404-3661
Phone (707) 523-7025

180 Rowland Way
Novato, CA 94945-5009
Phone (415) 209-1500

250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone (415) 925-7301

335 S McDowell Blvd
Petaluma, CA 94954-3507
Phone (415) 493-3800

4000 Civic Ctr Dr
Suite 209
San Rafael, CA 94903-5233
Phone (415) 925-8745

Hospital & facility affiliations

  • Novato Community Hospital Hospital, Novato, CA, CCN 050131
  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360
  • Sonoma Valley Hospital Hospital, Sonoma, CA, CCN 050090
  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454
  • Providence Queen of the Valley Medical Center Hospital, Napa, CA, CCN 050009

Merit-based Incentive Payment System (MIPS)

Final score
90.9 of 100Reported as group
Quality
91.91
Improvement activities
40
Cost
79.27

Merit-based Incentive Payment System (MIPS)

Final score
92.69 of 100Reported as group
Quality
96.63
Improvement activities
40
Cost
81.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60981CAMDGeneral Practice Dentistry
G60981CAMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Advanced Imaging Medical Associates Inc Neuroradiology CurrentSince Sep 30, 2010 Accepting new patients
Doctors Resources Company, LLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Oct 23, 2025 Accepting new patients
Prima Medical Foundation CurrentSince Aug 1, 2018 Accepting new patients
Sutter Valley Medical Foundation Diagnostic Radiology CurrentSince Oct 23, 2025 Accepting new patients
Seton Medical Center Past Accepting new patients
Prima Medical Group, Inc. Past Accepting new patients
Sonoma Valley Health Care District Past Accepting new patients
1125 Sir Francis Drake Boulevard Operating Company, LLC Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Marin General Hospital Past Accepting new patients

Locations (25 of 30)

901 Campus Dr
Ste 113
Daly City, CA 94015
Phone (650) 994-2595

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

100 Drakes Landing Rd
Ste 140
Greenbrae, CA 94904
Phone (415) 461-4282

1350 S Eliseo Dr
Ste 140
Greenbrae, CA 94904
Phone (415) 925-7450

1240 S Eliseo Dr
Ste 103
Greenbrae, CA 94904
Phone (415) 461-7770

1260 S Eliseo Dr
Fl 2
Greenbrae, CA 94904
Phone (415) 464-1350

1260 S Eliseo Dr
Ste 101
Greenbrae, CA 94904
Phone (415) 461-9033

1260 S Eliseo Dr
Greenbrae, CA 94904
Phone (415) 461-9033

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

1125 Sir Francis Drk Blvd
Kentfield, CA 94904
Phone (415) 456-9680

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

600 Marine Blvd
Moss Beach, CA 94038
Phone (650) 563-7100

75 Rowland Way
Ste 250
Novato, CA 94945
Phone (415) 878-2910

180 Rowland Way
Novato, CA 94945
Phone (415) 209-1300

500 Redwood Blvd
#300
Novato, CA 94947
Phone (415) 884-3418

335 S McDowell Blvd
Petaluma, CA 94954
Phone (415) 493-3800

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

2333 Buchanan St
San Francisco, CA 94115
Phone (415) 563-4321

100 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 696-4140

4000 Civic Center Dr
Ste 209
San Rafael, CA 94903
Phone (415) 492-4840

4000 Civic Center Dr
Ste 110
San Rafael, CA 94903
Phone (401) 722-1494

1701 4th St
Ste 120
Santa Rosa, CA 95404
Phone (707) 523-7025

Interoperability endpoints

  • Direct secure messaging: rkoenker194708@hisp.ehr.sutterhealth.org
  • Direct secure messaging: rkoenker224830@direct-ucsfmedicalcenter.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782604800000",
    "number": "1891734265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6102",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949486102",
            "telephone_number": "415-884-3418",
            "fax_number": "415-883-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BON AIR RD",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041702",
            "telephone_number": "415-925-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Rowland Way",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949455009",
            "country_code": "US",
            "telephone_number": "415-290-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOENKER",
        "first_name": "RALPH",
        "middle_name": "MAXIMILLIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2026-06-28",
        "certification_date": "2026-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "G60981",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G60981",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "G60981",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G609810",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300121787",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G609810",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300035771",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

Verify at the official NPI Registry.