Jane Kjoller, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

194237 Issued in NY

Practice address

1425 Portland Ave
Rochester, NY 14621-3011

Phone

(585) 922-9080

Fax

(585) 922-2951

NPI assigned

Apr 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Newark Wayne Community Hospital

  • General Acute Care Hospital
  • Newark, NY
  • NPI 1770671182
  Medicare reassignment NPD
• Rochester General Hospital

  dba Rochester General Medical Groups

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1356412712

  Internal Medicine

  Medicare reassignment NPD
• Jane L. Kjoller, MD

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1265624043
  NPD (past) Authorized official
• Newark Wayne Community Hospital

  • General Acute Care Hospital
  • Newark, NY
  • NPI 1346369212
  NPD
• Regional Health Reach Inc.

  dba Regional HealthReach Multi-Specialty

  • Federally Qualified Health Center (FQHC)
  • Rochester, NY
  • NPI 1225612765
  NPD
• Regional Health Reach Inc.

  • Federally Qualified Health Center (FQHC)
  • Rochester, NY
  • NPI 1871128371
  NPD
• Rochester General Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1255360517
  NPD
• Robert M Kerper MD, PLLC

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1386086957
  NPD (past)
• The Unity Hospital of Rochester

  dba Unity Physician Services

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1457395766
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1740246990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-244-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 PORTLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213011",
            "telephone_number": "585-922-9080",
            "fax_number": "585-922-2951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Genesee St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146113201",
            "country_code": "US",
            "telephone_number": "585-368-3720",
            "fax_number": "585-368-3723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 McKee Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146112024",
            "country_code": "US",
            "telephone_number": "585-368-3720",
            "fax_number": "585-368-3723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KJOLLER",
        "first_name": "JANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "194237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01675167",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Joyce Kistler, OTR/L
• Takashi Kitanosono, M.D.
• Eric Lewis Kittles Jr.
• Josephine B Kivinen, NP
• Nancy Kizielewicz, ED.D. LMHC
• Kerri Lynne Klajbor, RPH
• Catherine Klapheke, MD
• Carson Nicole Klasner, MD
• Sara J Klatte, NP
• Hannah Klaver

• Internal Medicine Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.

Verify at the official NPI Registry.