JOHN M KOLLER M.D. NPI 1588721195

NPI Information

  • NPI: 1588721195
  • Provider Name: JOHN M KOLLER, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 202 CENTER AVE.
    STE. 102
    KODIAK, AK
    ZIP 99615
  • Phone: (907) 486-6188

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NPI Details

John M Koller, M.D. is a family medicine in Kodiak, AK with 34 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. John M Koller, M.D. NPI is 1588721195. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1992

The provider's business location address is:

202 CENTER AVE.
STE. 102
KODIAK, AK
ZIP 99615-126
Phone: (907) 486-6188
Fax: (907) 486-6146

The NPI 1588721195 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Infusion, normal saline solution , 1000 cc (HCPCS:J7030)
  • Detection test by immunoassay with direct visual observation for respiratory syncytial virus (HCPCS:87807)
  • Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less (HCPCS:96365)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Injection, bebtelovimab, 175 mg (HCPCS:Q0222)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Blood count, hemoglobin (HCPCS:85018)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Intravenous injection, bebtelovimab, includes injection and post administration monitoring (HCPCS:M0222)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Test to assess middle ear function (HCPCS:92567)
  • Intravenous injection, bebtelovimab, includes injection and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency (HCPCS:M0223)
  • Injection, sotrovimab, 500 mg (HCPCS:Q0247)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Intravenous infusion, sotrovimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency (HCPCS:M0248)

The enumeration date for this NPI number is 1/2/2007 and was last updated on 1/10/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineS3737ALASKAYes
2207Q00000XFamily Medicine3737ALASKANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K151630OTHERMEDICARE ID ( DEACTIVATED AFTER 5.16.09)
2MD10072MEDICAIDALASKA
3K162501OTHERMEDICARE ID 6.29.09 - PRESENT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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