Individual provider Active NPI

Amy Kloosterboer, MD

  • Ophthalmology Physician
  • Miami, FL
National Provider Identifier
1154950988
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME174085 Issued in FL
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

Updated by the provider on Jun 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
12674600MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200608001361 OH Order and Referring Only - Internal MedicinePractitioner - Internal MedicinePractitioner - Ophthalmology 8123449717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME174085FLMDOphthalmology Physician
MD484233PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.