Active NPI
Aleksandr M Kaplun, PAC
- Physician Assistant
- Colorado Springs, CO
National Provider Identifier
1508309709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60809909
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- 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.
-
- Internal Medicine Physician
- Lakewood, CO
- NPI 1295789824
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.