DR. MICHAEL KOLLER MD
NPI 1922687102
Anesthesiology in Plymouth, MN

Q: What is Michael Koller's NPI number?

The NPI number for Michael Koller is 1922687102. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Q: What is Michael Koller's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Koller was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since April 06, 2021PECOS EnrolledAccepts Medicare Assignment

14700 28TH AVE N STE 20, PLYMOUTH, MN 55447(763) 852-0416(763) 450-3986 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 13, 2025, Apr 11, 2022, Apr 6, 2021 (3 updates tracked since 2021).

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About Dr. Michael Koller Md NPPES

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

DR. MICHAEL KOLLER MD (NPI 1922687102) is an individual anesthesiology provider in Plymouth, Minnesota, licensed in Minnesota (79171) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of University Of Minnesota Medical School (2021).

NPPES Registry Identity

NPI1922687102

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameDR. MICHAEL KOLLERCredential: MD

Location Address14700 28TH AVE N STE 20Plymouth, MN 55447-4876

Mailing Address2916 Oak Lea TerWayzata, MN 55391-2534 · (952) 221-7842

Phone(763) 852-0416

Fax(763) 450-3986

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2021

Enumeration DateApril 6, 2021

Last NPPES UpdateJune 13, 20253 updates tracked since enumeration

NPPES CertifiedJune 13, 2025

✔ NPI 1922687102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in MN · 79171

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

14700 28TH AVE N STE 20, Plymouth, MN 55447

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Koller Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668872318

PECOS Enrollment IDI20250715001091

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240053

Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

PETER WILLIAM COLEMAN

Anesthesiology