Individual provider Active NPI

Anna Liese Kooi

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1255999751
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02008510A Issued in IN
Practice address
5550 S East St Ste C
Indianapolis, IN 46227-1991
Phone
(317) 534-4660
Fax
(317) 782-4301
NPI assigned
May 31, 2019
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02008510A IN Primary

Addresses

Primary practice location

5550 S East St Ste C
Indianapolis, IN 46227-1991

Mailing address

11 Trafalgar SQ
Trafalgar, IN 46181-9515
Phone (317) 680-9103

Other names 1

  • Anna L Durling Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20220912001027 MI Practitioner - Family Practice 8123403102 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5151013946MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackley Community Care Center Inc Current Accepting new patients
Privamd Physicians PLLC Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Lakeshore Concierge Medicine PLLC Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
Windrose Health Network, Inc. Past Accepting new patients
Windrose Health Network, Inc. Past Accepting new patients
Windrose Health Network, Inc. Past Accepting new patients
Windrose Health Network Inc Past Accepting new patients
Windrose Health Network, Inc. Past Accepting new patients

Locations

16986 Robbins Rd
Ste 180
Grand Haven, MI 49417
Phone (616) 213-0253

2700 Baker St
Fl 3
Muskegon Heights, MI 49444
Phone (231) 733-6607

3579 Henry St
Ste 140
Norton Shores, MI 49441
Phone (231) 215-5046

Interoperability endpoints

  • Direct secure messaging: akooi42766@direct.trinity-health.org
  • Direct secure messaging: anna.kooi.1@23814.direct.athenahealth.com
  • Direct secure messaging: annakooi@hccc.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/23527/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1255999751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 TRAFALGAR SQ",
            "city": "TRAFALGAR",
            "state": "IN",
            "postal_code": "461819515",
            "telephone_number": "317-680-9103",
            "fax_number": "317-878-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 S EAST ST STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271991",
            "telephone_number": "317-534-4660",
            "fax_number": "317-782-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOI",
        "first_name": "ANNA",
        "middle_name": "LIESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02008510A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "DURLING",
            "middle_name": "L",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.