Individual provider Active NPI

Amy Joan Koler, MD

  • Surgical Critical Care Physician
  • St Petersburg, FL
National Provider Identifier
1588688733
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
ME104839 Issued in FL
Practice address
603-7TH St So
#500
St Petersburg, FL 33701-4734
Phone
(727) 822-0442
Fax
(727) 821-0416
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 12397 NV
Surgical Critical Care Physician 2086S0102X ME104839 FL Primary
Surgery Physician 208600000X ME104839 FL
Trauma Surgery Physician 2086S0127X ME104839 FL

Addresses

Primary practice location

603-7TH St So
#500
St Petersburg, FL 33701-4734

Mailing address

603-7TH St So
#500
St Petersburg, FL 33701-4734
Phone (727) 822-0442

Other identifiers 2

IdentifierTypeStateIssuer
12397OtherNVMEDICAL LICENSE
CS15369OtherNVPHARMACY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20091112000588 FL Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 7911993084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: General Surgery
Education
Northeastern Ohio University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohi West Medical Group LLCGroup PAC ID 2668882507, 200 clinicians

Practice addresses (Care Compare)

603 7TH St S
Suite 500
St Petersburg, FL 33701-4734
Phone (727) 893-6254

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12397NVMDSurgery Physician
ME104839FLMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohi West Medical Group, LLC Trauma Surgery CurrentSince Oct 1, 2020 Accepting new patients
Ohi West Medical Group, LLC CurrentSince Oct 1, 2020 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Suncoast Medical Clinic LLC Past Accepting new patients
Bayfront Physician Specialty Service Past Accepting new patients

Locations

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

603 7th St S
Ste 500
St Petersburg, FL 33701
Phone (727) 822-0442

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: akoler188790@orlandohealth.medalliesdirect.net
  • FHIR API: https://api.platform.athenahealth.com/3123/brand/3/csg/41/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1588688733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603-7TH ST SO",
            "address_2": "#500",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014734",
            "telephone_number": "727-822-0442",
            "fax_number": "727-821-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603-7TH ST SO",
            "address_2": "#500",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014734",
            "telephone_number": "727-822-0442",
            "fax_number": "727-821-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLER",
        "first_name": "AMY",
        "middle_name": "JOAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "12397",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "FL",
            "license": "ME104839",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME104839",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "FL",
            "license": "ME104839",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "12397",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "CS15369",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.