Active NPI
Amy Kloosterboer, MD
- Ophthalmology Physician
- Miami, FL
National Provider Identifier
1154950988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME174085
- Practice address
- 8740 N Kendall Dr Ste 117
Miami, FL 33176-2209 - Phone
- (305) 709-2211
- Fax
- (786) 631-5960
- NPI assigned
- Apr 3, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD484233 | PA | |
| Ophthalmology Physician | 207W00000X | ME174085 | FL | Primary |
Addresses
Primary practice location
8740 N Kendall Dr Ste 117
Miami, FL 33176-2209
Mailing address
8740 N Kendall Dr Ste 117
Miami, FL 33176-2209
Phone (305) 709-2211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12674600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200608001361 | OH | Order and Referring Only - Internal Medicine | 8123449717 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME174085 | FL | MD | Ophthalmology Physician |
| MD484233 | PA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rop Consultants of Florida, PA | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Miami, FL
- NPI 1649635251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1154950988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8740 N KENDALL DR STE 117",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762209",
"telephone_number": "305-709-2211",
"fax_number": "786-631-5960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8740 N KENDALL DR STE 117",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762209",
"telephone_number": "305-709-2211",
"fax_number": "786-631-5960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOOSTERBOER",
"first_name": "AMY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-03",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD484233",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME174085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12674600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.