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

John M Koller, MD

Individual provider Family Medicine Physician · NPI 1588721195

John M Koller, MD is a Family Practice in Kodiak, Alaska. Graduated from University of Minnesota Medical School in 1992, 34 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Alaska.

Years since qualifying
34
Trained at
University of Minnesota Medical School
Licensed in
AK
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

202 Center Ave Ste 102
Kodiak, AK 99615-1126
Phone: (907) 486-6188
Fax: (907) 486-6146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence S3737 (AK)
Family Medicine Physician Taxonomy 207Q00000X · Licence 3737 (AK)

Record details

NPI number1588721195
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 2, 2007
Last updated in NPPESJanuary 10, 2018
Mailing addressPo Box 1126, Kodiak, AK 99615-1126

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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