Jordan Alan Caplan, MD
Individual provider Active NPI Diagnostic Radiology Physician · Germantown, MD
NPI 1770840704 · NPPES record last updated Jun 13, 2012
Key facts
- NPI
- 1770840704
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- D74202 (MD)
- Practice address
- 20410 Observation Dr
Suite 104
Germantown, MD 20876-4000 - Phone
- (301) 948-5700
- NPI assigned
- Apr 16, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- University of Nevada School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Blackwell Physicians, LLC
Practice addresses (Care Compare)
11711 Livingston Rd
Fort Washington, MD 20744-5151
Phone (301) 203-2246
11886 Healing Way
102 Ahc Imaging
Silver Spring, MD 20904-7917
Phone (240) 637-6120
11890 Healing Way
Ahc Imaging
Silver Spring, MD 20904-7917
Phone (240) 637-6222
12008 Cherry Hill Rd
Silver Spring, MD 20904-1985
Phone (240) 780-4000
6000 Executive Boulevard
302 Ahc Imaging
Rockville, MD 20852-3803
Phone (301) 656-7226
9601 Blackwell Rd
Suite 150
Rockville, MD 20850-6474
Phone (240) 864-1100
9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (240) 826-6074
Hospital & facility affiliations
- Adventist Healthcare Shady Grove Medical Center
- Adventist Healthcare White Oak Medical Center
- Adventist Healthcare Fort Washington Medical Ctr
- Medstar Washington Hospital Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120530000350 | DC | Practitioner - Diagnostic Radiology | 0446413520 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A115640 | CA | MD | Diagnostic Radiology Physician |
| D74202 | MD | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Faculty Associates, Inc | Current |
Accepting new patients | |
| Blackwell Physicians, LLC | Diagnostic Radiology | Current |
Accepting new patients |
Locations
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
9601 Blackwell Rd
Ste 150
Rockville, MD 20850
Phone (240) 864-1100
101 W Edmonston Dr
Rockville, MD 20852
Phone (301) 762-1818
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A115640 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | D74202 | MD | Yes |
Addresses
Primary practice location
20410 Observation Dr
Suite 104
Germantown, MD 20876-4000
Mailing address
20410 Observation Dr
Suite 104
Germantown, MD 20876-4000
Phone (301) 948-5700
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- Capital Women'S Care, L.L.C.
- Capital Women'S Care, L.L.C.
- Capitol Anesthesia Associates, LTD
- Lillian Marie Cardona
- Suzanne Carducci
- Care 4U, LLC
- Caring Health Services Inc
- Julie Diana Carmen
All providers in Germantown, MD · Diagnostic Radiology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.