Active NPI
Keith J Kaplan, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 036112263
- Practice address
- 1000 Blythe Blvd
4TH Floor
Charlotte, NC 28203 - Phone
- (704) 355-2251
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 036112263 | IL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 2010-00961 | NC | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 50019 | MN | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 32665 | SC | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036112263 | IL | Primary |
Addresses
Primary practice location
1000 Blythe Blvd
4TH Floor
Charlotte, NC 28203
Mailing address
800 Biesterfield Rd
Elk Grove Village, IL 60007-3361
Phone (847) 437-5500
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 157973000 | Medicaid | MN | |
| 35178100 | Medicaid | WI | |
| ENROLLED | Medicaid | IA | |
| P00457960 | Other | MN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Northwestern University Feinberg Medical School, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Biesterfield Rd
Elk Grove Village, IL 60007-3361
Phone (847) 437-5500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036112263 | IL | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gi Partners of Illinois, PLLC | Current | Accepting new patients | |
| Alliance Pathology Consultants, PLLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Endeavor Health Medical Group | Past | Accepting new patients | |
| Endeavor Health Medical Group | Past | Accepting new patients | |
| Carolinas Pathology Group, PA | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153
1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923
1880 W Winchester Rd
Ste 201
Libertyville, IL 60048
Phone (847) 247-0187
Organizations & group practices 5
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Elk Grove Village, IL
- NPI 1972881613
-
- Gastroenterology Physician
- Libertyville, IL
- NPI 1548613995
-
- Anatomic Pathology & Clinical Pathology Physician
- Spartanburg, SC
- NPI 1730324583
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elk Grove Village, IL
- NPI 1265577191
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
- General Acute Care Hospital
- Tinley Park, IL
- NPI 1427752013
-
- General Acute Care Hospital
- Hoffman Estates, IL
- NPI 1376644385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531872000000",
"number": "1548201825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 BIESTERFIELD RD",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073361",
"telephone_number": "847-437-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BLYTHE BLVD",
"address_2": "4TH FLOOR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28203",
"telephone_number": "704-355-2251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPLAN",
"first_name": "KEITH",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2018-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "IL",
"license": "036112263",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NC",
"license": "2010-00961",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MN",
"license": "50019",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "SC",
"license": "32665",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036112263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "157973000",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35178100",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00457960",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.