Jana Lynn Kaplan-Fastow, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Perry Hall, MD
NPI 1124009717 · NPPES record last updated Jan 13, 2017
Key facts
- NPI
- 1124009717
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- D0054793 (MD)
- Practice address
- 5009 Honeygo Center Dr
210
Perry Hall, MD 21128-9828 - Phone
- (443) 725-2140
- Fax
- (410) 248-0519
- NPI assigned
- Nov 9, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of Maryland School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Luminis Health Medical Group, LLC
Practice addresses (Care Compare)
2001 Medical Pkwy
Annapolis, MD 21401-3280
Phone (443) 481-1000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120313000717 | MD | Practitioner - Obstetrics/Gynecology | 7214002203 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminis Health Medical Group, LLC | Current |
Accepting new patients | |
| Luminis Health Medical Group, LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Anne Arundel Medical Center, Inc. | Past | Accepting new patients | |
| DRS Coelus & Kaplan, ASC, LLC | Past |
Accepting new patients |
Locations
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | D0054793 | MD | Yes |
Addresses
Primary practice location
5009 Honeygo Center Dr
210
Perry Hall, MD 21128-9828
Mailing address
2016 Jolly Rd
Baltimore, MD 21209-1014
Phone (410) 653-7807
Other providers in Perry Hall, MD
- J Nicholas Leyko DDS PA
- Laura Jago
- Kathryn Michele Jenkins
- Erica E Johnson
- Lauren Johnson
- Barbara A Karczeski
- Inna Kats
- Donna Keaveney
- Olivia Caitlyn Keller
- Patricia Kimeu
All providers in Perry Hall, MD · Obstetrics & Gynecology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.