Active NPI
Karyn Koller, M.D.
- Emergency Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 31103
- Practice address
- 506 6TH St
Brooklyn, NY 11215-3609 - Phone
- (718) 780-5246
- NPI assigned
- Jun 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 31103 | OK | Primary |
Addresses
Primary practice location
506 6TH St
Brooklyn, NY 11215-3609
Mailing address
4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone (405) 752-3715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
700 NE 13TH St
Ou Medical Center Trauma Center Ouhp Ou
Oklahoma City, OK 73104-5069
Phone (405) 271-4700
Hospital & facility affiliations
- O U Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Green Country Emergency Physicians Group of Tulsa PLLC | Emergency Medicine | Current | Accepting new patients |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Emergency Services of Oklahoma PC | Emergency Medicine | Current | Accepting new patients |
| Mercy Clinic Oklahoma Communities | Current | Accepting new patients | |
| Emergency Physicians of Midwest City, LLC | Emergency Medicine | Current | Accepting new patients |
| Questcare Em Oklahoma LLC | Emergency Medicine | Past | Accepting new patients |
| Ou Medicine Inc. | Past | Accepting new patients |
Locations
1 S Bryant Ave
Edmond, OK 73034
Phone (405) 341-6100
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200
700 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-3667
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090
900 17th St
Woodward, OK 73801
Phone (405) 610-4411
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Emergency Medicine Physician
- Oklahoma City, OK
- NPI 1558386474
-
- Emergency Medicine Physician
- Norman, OK
- NPI 1215249891
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1972698553
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
-
- Emergency Medicine Physician
- Oklahoma City, OK
- NPI 1427391481
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496793600000",
"number": "1144514142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 W MEMORIAL RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731208304",
"telephone_number": "405-752-3715",
"fax_number": "405-936-5058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 6TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112153609",
"telephone_number": "718-780-5246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLLER",
"first_name": "KARYN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2017-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "31103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.