Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Derek Koller, M.D.

Family Medicine Physician in Salem, OR · enumerated 2012.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629338470

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Registry record

Entity type Individual (Type 1)

Name Dr. Derek Koller

Credential M.D.

Sex Male

Practice address Salem, OR, 97306

Phone (361) 902-4789

Fax (361) 902-4588

Enumeration date May 25, 2012

Last updated in NPPES Jan 13, 2020

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 284778 (NY) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License M-14141 (ID) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License MED-PHYS-LIC-60886 (MT) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License A143337 (CA) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License DR.0059780 (CO) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License MD60818224 (WA) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License MD186008 (OR) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License MD2018-0164 (NM) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 17828 (NV) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 11453A (WY) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 55553 (AZ) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License S2376 (TX) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License ME142837 (FL) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 036151000 (IL) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 17981 (HI) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Derek Koller?

Derek Koller is registered in NPPES with the primary taxonomy of Family Medicine Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-01-13.