Active NPI
Elliot Ira Kaplan, M.D.,PHD.
- Pediatrics Physician
- Penfield, NY
National Provider Identifier
1497770754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 173626
- Practice address
- 21 Willow Pond Way
Ste 200
Penfield, NY 14526-2687 - Phone
- (585) 377-0840
- Fax
- (585) 377-9715
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 173626 | NY | Primary |
Addresses
Primary practice location
21 Willow Pond Way
Ste 200
Penfield, NY 14526-2687
Mailing address
21 Willow Pond Way
Ste 200
Penfield, NY 14526-2687
Phone (585) 377-0840
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01915 | Other | NY | BLUE CROSS/BLUE SHIELD |
| 01132109 | Medicaid | NY | |
| 7570001 | Other | NY | AETNA |
| 102554DL | Other | NY | PREFERRED CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173626 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penfield Pediatrics, LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Penfield, NY
- NPI 1629159496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497770754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 WILLOW POND WAY",
"address_2": "STE 200",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145262687",
"telephone_number": "585-377-0840",
"fax_number": "585-377-9715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 WILLOW POND WAY",
"address_2": "STE 200",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145262687",
"telephone_number": "585-377-0840",
"fax_number": "585-377-9715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPLAN",
"first_name": "ELLIOT",
"middle_name": "IRA",
"credential": "M.D.,PHD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "173626",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "01915",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01132109",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7570001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "102554DL",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Penfield, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.