Samuel David Koebe, MD
NPI 1245812106ActiveIndividual· Radiology, Diagnostic Radiology· Janesville, WI
Radiology, Diagnostic Radiology (MD) in Janesville, Wisconsin, trained at University of Wisconsin School of Medicine (class of 2021). Enrolled in Medicare as practitioner - diagnostic radiology.
Overview
| NPI | 1245812106 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 21, 2021 |
| Last updated in NPPES | Feb 16, 2026 |
| Certified by provider | Feb 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 81759 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (WI) |
|---|
Education and affiliations
| Medical school | University of Wisconsin School of Medicine |
|---|---|
| Graduation year | 2021 |
| Medicare specialty | Diagnostic Radiology |
Medical group
- Mercy Health System CorporationJanesville, WI · 753 clinicians
Hospital affiliations
- Mercy Health System CorpJanesville, WI
- Mercy Walworth Hospital & Medical CenterLake Geneva, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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