Individual provider Active NPI

Aleksandr M Kaplun, PAC

  • Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1508309709
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60809909 Issued in WA
Practice address
155 Printers Pkwy Ste 23
Colorado Springs, CO 80910-6100
Phone
(719) 694-9856
NPI assigned
Nov 21, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA60809909 WA Primary

Addresses

Primary practice location

155 Printers Pkwy Ste 23
Colorado Springs, CO 80910-6100

Mailing address

PO Box 3649
Spokane, WA 99220-3649

Other practice location 1

800 W 5th Ave
Spokane, WA 99204-2803
Phone (509) 838-2531

Other practice location 2

5846 Huntington Hills Dr
Fort Collins, CO 80525-7116
Phone (970) 231-1041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190521000542 CO Practitioner - Physician Assistant 3971862277 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: aleksandr.kaplun.1@16716.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1508309709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3649",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992203649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 PRINTERS PKWY STE 23",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809106100",
            "telephone_number": "719-694-9856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042803",
            "country_code": "US",
            "telephone_number": "509-838-2531",
            "fax_number": "509-755-6580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5846 Huntington Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805257116",
            "country_code": "US",
            "telephone_number": "970-231-1041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPLUN",
        "first_name": "ALEKSANDR",
        "middle_name": "M",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-21",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60809909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.