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CHARLES J KOLLER MD PA
NPI 1689982183
Surgery in Winter Park, FL

Active since September 17, 2010
2055 GLENWOOD DR, WINTER PARK, FL 32792(407) 645-3555(407) 645-2555 Get Directions Write a Review

NPPES record last updated: September 17, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Charles J Koller Md Pa NPPES

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

CHARLES J KOLLER MD PA (NPI 1689982183) is a healthcare organization registered as a surgery in Winter Park, Florida and active in the NPI registry since September 2010. The organization lists Hilda Rodriguez, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1689982183
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameCHARLES J KOLLER MD PA
Location Address2055 GLENWOOD DRWinter Park, FL 32792-3307
Mailing Address2055 Glenwood DrWinter Park, FL 32792-3307 · (407) 645-3555 · Fax (407) 645-2555
Phone(407) 645-3555
Fax(407) 645-2555
Organization SubpartNo
Authorized OfficialHilda RodriguezOffice Manager · (407) 645-3555
Enumeration DateSeptember 17, 2010
✔ NPI 1689982183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME63666
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2055 GLENWOOD DR, Winter Park, FL 32792
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Other Identifiers 1

Medicare UPINF94124FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles J Koller Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Charles J Koller MD PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Charles Koller, M.D.
General Surgery
NPI 1578571295
2055 GLENWOOD DR
Winter Park, FL 32792
(407) 645-3555
✔ PECOS✔ Accepts MedicareSame address
Quehuong Pham, M.D.
General Surgery
NPI 1538137369
1406 W 5TH ST STE 301
London, KY 40741
(606) 330-2370
✔ PECOS608 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles J Koller MD PA's NPI number?

The NPI number for Charles J Koller MD PA is 1689982183. It was assigned to this organization in the NPPES registry on September 17, 2010.

Where is Charles J Koller MD PA located?

Charles J Koller MD PA is located at 2055 Glenwood Dr, Winter Park, FL 32792. The listed phone number is (407) 645-3555.

What is Charles J Koller MD PA's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Charles J Koller MD PA enrolled in Medicare?

Yes. Charles J Koller MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Charles J Koller MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in General Surgery, reassign their Medicare billing to Charles J Koller MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Charles J Koller MD PA was last updated on September 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.