Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Charles Jay Koller, MD

Individual provider Specialist · NPI 1578571295

Dr. Charles Jay Koller, MD is a General Surgery in Winter Park, Florida. Graduated from University of Miami, Lm Miller School of Medicine in 1989, 37 years ago. Practices with Charles J Koller MD PA, a 2-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
37
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2055 Glenwood Dr
Winter Park, FL 32792-3307
Phone: (407) 645-3555
Fax: (407) 645-2555
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME0063666 (FL)

Record details

NPI number1578571295
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 5, 2006
Last updated in NPPESJuly 8, 2007
Mailing address2055 Glenwood Dr, Winter Park, FL 32792-3307

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Charles J Koller Md Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Winter Park