ANNA LIESE KOOI - NPI 1255999751 - Family Medicine in Indianapolis, IN

Q: What is Anna Kooi's NPI number?

The NPI number for Anna Kooi is 1255999751. It was assigned to this individual provider in the NPPES registry on May 31, 2019.

Q: What is Anna Kooi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Anna Kooi was last updated on June 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Anna Liese Kooi NPPES

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

ANNA LIESE KOOI (NPI 1255999751) is an individual family medicine provider in Indianapolis, Indiana, licensed in Michigan (5151013946) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255999751

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameANNA LIESE KOOI

Location Address5550 S EAST ST STE CIndianapolis, IN 46227-1991

Mailing Address11 Trafalgar SqTrafalgar, IN 46181-9515 · (317) 680-9103 · Fax (317) 878-2355

Phone(317) 534-4660

Sole ProprietorNo

Enumeration DateMay 31, 2019

Last NPPES UpdateJune 27, 20253 updates tracked since enumeration

NPPES CertifiedJune 27, 2025

✔ NPI 1255999751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 5151013946

Definition

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.

5550 S EAST ST STE C, Indianapolis, IN 46227

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Secondary Practice Locations 2

Location 13443 Farr RdFruitport, MI 49415-8779 · Phone (231) 672-2900

Location 22700 Baker St Fl 3Muskegon, MI 49444-2157 · Phone (317) 371-3352 · Fax (231) 737-1335

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anna Liese Kooi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46227 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

IVANA RADOVANOVIC MD

Pediatrics