Charles J Koller MD PA
NPI 1689982183ActiveOrganization· Surgery· Winter Park, FL
Surgery in Winter Park, Florida, registered in NPPES in September 2010. The authorized official on file is Hilda Rodriguez, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1689982183 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 17, 2010 |
| Last updated in NPPES | Sep 17, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | ME63666 | FL |
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 Part B Supplier - Clinic/Group Practice (FL) |
|---|
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