Michael J Kaplan, MD

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

034194 Issued in CT

Practice address

1579 Straits Turnpike
Middlebury, CT 06762

Phone

(203) 758-1272

Fax

(203) 758-1070

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Sports MedicineAlso: Orthopedic Surgery

Education

University of Vermont College of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Orthopaedics PCGroup PAC ID 1759399165, 4 clinicians

McLean FundGroup PAC ID 0648247403, 105 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uconn Health Community Network Home Health, Inc. Home health agency, Watertown, CT, CCN 077085
• Atrinity Home Health Home health agency, Wallingford, CT, CCN 077254
• Waterbury Hospital Hospital, Waterbury, CT, CCN 070005
• Saint Mary'S Hospital Hospital, Waterbury, CT, CCN 070016

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkaplan2390107@direct.trinity-health.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Active Orthopaedics PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Middlebury, CT
  • NPI 1083797401
  Medicare reassignment Care Compare group NPD Authorized official
• HHC Southington Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Cheshire, CT
  • NPI 1528479664
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Atrinity Home Health, LLC

  • Home Health Agency
  • Cheshire, CT
  • NPI 1629387691
  Care Compare affiliation
• Prospect Waterbury Home Health, Inc.

  • Home Health Agency
  • Watertown, CT
  • NPI 1265880413
  Care Compare affiliation
• Prospect Waterbury, Inc.

  • General Acute Care Hospital
  • Waterbury, CT
  • NPI 1477902641
  Care Compare affiliation
• Saint Mary'S Hospital, Inc.

  • General Acute Care Hospital
  • Waterbury, CT
  • NPI 1760426969
  Care Compare affiliation

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1124047196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 STRAITS TURNPIKE",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "06762",
            "telephone_number": "203-758-1272",
            "fax_number": "203-758-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 STRAITS TURNPIKE",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "06762",
            "telephone_number": "203-758-1272",
            "fax_number": "203-758-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CT",
            "license": "034194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE INSURANCE",
            "identifier": "341940",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC FAMILY PLAN",
            "identifier": "00134194000",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS OF CT",
            "identifier": "010034194CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0R0384",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "NHS375",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1341940",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "501812",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ghulam Jilani, MD
• Mary Beth Johnston, PH.D.
• Katherine Jones
• Justin D. Caskey, D.O., P.C.
• John Kanca III, DMD
• Kenneth G Kaplove, M.D.
• John M Keggi, MD
• April Kenney, LMSW
• Robert E Kennon, MD
• Ashley K Kiefer, LCSW

• Sports Medicine (Orthopaedic Surgery) Physician in Middlebury, CT
• Providers in Middlebury, CT by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.