Gary Fredric Koloff, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301048553 Issued in MI

Practice address

28423 Orchard Lake Rd
Suite 212
Farmington Hills, MI 48334-2971

Phone

(248) 553-2434

NPI assigned

Dec 19, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2025 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Gary F Koloff MD PC

  • Neurology Physician
  • Farmington Hills, MI
  • NPI 1578866620
  Authorized official Same address or phone

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477539708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28423 ORCHARD LAKE RD",
            "address_2": "SUITE 212",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28423 ORCHARD LAKE RD",
            "address_2": "SUITE 212",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342971",
            "telephone_number": "248-553-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLOFF",
        "first_name": "GARY",
        "middle_name": "FREDRIC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301048553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Kolb
• Uchenna Kole-James, PHARMD
• Tamara Koll-Conklin
• Jhansi Lakshmi Kolli
• Kelly M Kolody, LMSW
• Jeannie Kologek
• Madelyn Kolosowsky
• Erin Komara
• Jack Komer
• Lily Komon

• Psychiatry Physician in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.