MR. RONALD JAMES KOCH JR. M.D.
NPI 1568876142
Otolaryngology - Plastic Surgery within the Head & Neck in Mountain View, CA

Q: What is Ronald Koch's NPI number?

The NPI number for Ronald Koch is 1568876142. It was assigned to this individual provider in the NPPES registry on June 11, 2014.

Q: What is Ronald Koch's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Q: Is Ronald Koch enrolled in Medicare?

No. Ronald Koch has opted out of Medicare through February 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Ronald Koch was last updated on April 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 11, 2014Opted out of Medicare · through Feb 16, 2027

525 SOUTH DR STE 115, MOUNTAIN VIEW, CA 94040(650) 969-5600(650) 969-0360 Get Directions Write a Review

NPPES record last updated: April 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. Ronald James Koch Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RONALD JAMES KOCH JR. M.D. (NPI 1568876142) is an individual plastic surgery within the head & neck provider in Mountain View, California, licensed in California (A49942) and active in the NPI registry since June 2014. He has opted out of Medicare through February 16, 2027.

NPPES Registry Identity

NPI1568876142

Entity TypeIndividualMale

Primary Taxonomy207YX0007X

Provider Legal NameMR. RONALD JAMES KOCH JR.Credential: M.D.

Location Address525 SOUTH DR STE 115Mountain View, CA 94040-4211

Mailing Address525 South Dr Ste 115Mountain View, CA 94040-4211 · (650) 969-5600 · Fax (650) 969-0360

Phone(650) 969-5600

Fax(650) 969-0360

Sole ProprietorNo

Enumeration DateJune 11, 2014

Last NPPES UpdateApril 3, 2018

✔ NPI 1568876142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians

Taxonomy Code207YX0007X

License✔ Licensed in CA · A49942

Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

525 SOUTH DR STE 115, Mountain View, CA 94040

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Ronald James Koch Jr. M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 16, 2023 through February 16, 2027.

Opt-Out Effective DateFebruary 16, 2023

Opt-Out In Effect ThroughFebruary 16, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CALIFORNIA SKIN INSTITUTE, A MEDICAL CORPORATION

Dermatology