Individual provider Active NPI

Adam Geoffrey Kaplan, M.D.

  • Urology Physician
  • Santa Rosa, CA
National Provider Identifier
1306078050
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A114706 Issued in CA
Practice address
1701 4TH St
Suite 200
Santa Rosa, CA 95404-3658
Phone
(707) 525-4051
Fax
(707) 525-1033
NPI assigned
Aug 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 2014-00467 NC
Urology Physician 208800000X A114706 CA Primary

Addresses

Primary practice location

1701 4TH St
Suite 200
Santa Rosa, CA 95404-3658

Mailing address

1701 4TH St
Suite 200
Santa Rosa, CA 95404-3658
Phone (707) 525-4051

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address akaplan1657877@oc.providencedirect.org
Direct Messaging Address akaplan1657877@oc.providencedirect.org

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20160819000627 CA Practitioner - Urology 8022235977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of California, Irvine, California College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

121 Sotoyome St
Santa Rosa, CA 95405-4823
Phone (707) 525-6623

Hospital & facility affiliations

  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174
  • Sonoma Valley Hospital Hospital, Sonoma, CA, CCN 050090
  • Providence Queen of the Valley Medical Center Hospital, Napa, CA, CCN 050009
  • Adventist Health Mendocino Coast Hospital, Fort Bragg, CA, CCN 051325
  • Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A114706CAMDUrology Physician
2014-00467NCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Jul 18, 2016 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Jul 18, 2016 Accepting new patients
Providence Medical Foundation Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Duke University Health System, Inc. Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 400
Anaheim, CA 92805

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

1100 Trancas St
Ste 213
Napa, CA 94558
Phone (707) 224-7944

1701 4th St
Ste 200
Santa Rosa, CA 95404
Phone (707) 525-0100

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

121 Sotoyome St
Santa Rosa, CA 95405
Phone (707) 546-3141

510 Doyle Park Dr
Santa Rosa, CA 95405
Phone (707) 303-8360

Interoperability endpoints

  • Direct secure messaging: akaplan1657877@oc.providencedirect.org

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1306078050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 4TH ST",
            "address_2": "SUITE 200",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043658",
            "telephone_number": "707-525-4051",
            "fax_number": "707-525-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 4TH ST",
            "address_2": "SUITE 200",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043658",
            "telephone_number": "707-525-4051",
            "fax_number": "707-525-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "ADAM",
        "middle_name": "GEOFFREY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-13",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "2014-00467",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A114706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akaplan1657877@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "462 W Napa St",
            "city": "Sonoma",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954766519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akaplan1657877@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "510 Doyle Park Dr",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954054570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.