Active NPI
William E Kaplan, MD
- Pediatric Urology Physician
- Chicago, IL
National Provider Identifier
1790770618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- 036050075
- Practice address
- 225 E Chicago Ave
Box 114
Chicago, IL 60611-2991 - Phone
- (312) 227-6415
- Fax
- (312) 227-9409
- NPI assigned
- Sep 16, 2005
- 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 |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | 036-096912 | IL | |
| Pediatric Urology Physician | 2088P0231X | 036050075 | IL | Primary |
Addresses
Primary practice location
225 E Chicago Ave
Box 114
Chicago, IL 60611-2991
Mailing address
PO Box 87618, Dept, 10243
Claims Remittance
Chicago, IL 60680-0618
Phone (312) 788-2021
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1627123 | Other | IL | BCBS PROVIDER ID |
| 10046300A | Other | IL | MANAGED HEALTHCARE SRVCS |
| 036050075 | Medicaid | IL | |
| 10025071700 | Medicaid | NE | |
| 100462300A | Medicaid | IN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-096912 | IL | MD | Pediatric Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1790770618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 87618, DEPT, 10243",
"address_2": "CLAIMS REMITTANCE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606800618",
"telephone_number": "312-788-2021",
"fax_number": "312-846-1165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E CHICAGO AVE",
"address_2": "BOX 114",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112991",
"telephone_number": "312-227-6415",
"fax_number": "312-227-9409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPLAN",
"first_name": "WILLIAM",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-16",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "IL",
"license": "036-096912",
"primary": false
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "IL",
"license": "036050075",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "1627123",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTHCARE SRVCS",
"identifier": "10046300A",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036050075",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025071700",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100462300A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.