Organization Active NPI

Jeffrey R. Kaplan M.D. LLC

  • Internal Medicine Physician
  • Ellicott City, MD
National Provider Identifier
1033373378
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D37911 Issued in MD
Legal business name
JEFFREY R. KAPLAN M.D. LLC
Practice address
5116 Dorsey Hall Dr Ste a
Ellicott City, MD 21042-7877
Phone
(410) 964-9300
Fax
(410) 964-9822
NPI assigned
Jul 16, 2008
Last updated
Jan 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

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

Authorized official

Name
Mr. Jeffrey R Kaplan, M.D.NPI 1275590457
Title
Physician
Phone
(410) 964-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D37911 MD Primary

Addresses

Primary practice location

5116 Dorsey Hall Dr Ste a
Ellicott City, MD 21042-7877

Mailing address

5116 Dorsey Hall Dr Ste a
Ellicott City, MD 21042-7877
Phone (410) 964-9300

Other identifiers 1

IdentifierTypeStateIssuer
1927972OtherMDMEDICARE SUBMITTER ID.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110120001118 MD Part B Supplier - Clinic/Group Practice 3173702255 Receives reassigned benefits from 1 practitioner
Practice locations: Ellicott City, MD

National Provider Directory

National Provider Directory

Locations

5116 Dorsey Hall Dr
Ste A
Ellicott City, MD 21042
Phone (410) 381-3300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1033373378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5116 DORSEY HALL DR STE A",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427877",
            "telephone_number": "410-964-9300",
            "fax_number": "410-964-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5116 DORSEY HALL DR STE A",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427877",
            "telephone_number": "410-964-9300",
            "fax_number": "410-964-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY R. KAPLAN M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-964-9300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D37911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SUBMITTER ID.",
            "identifier": "1927972",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.