Individual provider Active NPI

Ted Adam Kaplan, M.D.

  • Pediatrics Physician
  • Orlando, FL
National Provider Identifier
1316984909
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME51557 Issued in FL
Practice address
4804 Edgewater Dr Ste B
Orlando, FL 32804-1126
Phone
(407) 290-3344
Fax
(877) 767-4236
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME51557 FL Primary

Addresses

Primary practice location

4804 Edgewater Dr Ste B
Orlando, FL 32804-1126

Mailing address

4804 Edgewater Dr Ste B
Orlando, FL 32804-1126
Phone (407) 290-3344

Other identifiers 1

IdentifierTypeStateIssuer
118649300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140826001402 FL Practitioner - Pediatric Medicine 1658599105 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Nemours Foundation CurrentSince Jun 11, 2014 Accepting new patients
The Nemours Foundation CurrentSince Jun 11, 2014 Accepting new patients
The Nemours Foundation Current Accepting new patients
Princeton Pediatrics, PA Pediatrics CurrentSince Jul 28, 2024 Accepting new patients

Locations

807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600

4804 Edgewater Dr
Ste B
Orlando, FL 32804
Phone (407) 290-3344

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: tkaplanmd@pp-fl.direct.office.nextgen.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1316984909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 EDGEWATER DR STE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041126",
            "telephone_number": "407-290-3344",
            "fax_number": "877-767-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 EDGEWATER DR STE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041126",
            "telephone_number": "407-290-3344",
            "fax_number": "877-767-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "TED",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME51557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118649300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.