Active NPI
Mark E Kaplan, MD
- Allergy & Immunology Physician
- Gurnee, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 036077766
- Practice address
- 36100 N Brookside Dr Ste 203
Gurnee, IL 60031-4573 - Phone
- (847) 855-1570
- Fax
- (847) 855-1890
- NPI assigned
- Sep 21, 2006
- 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 |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 036077766 | IL | |
| Allergy & Immunology Physician | 207K00000X | 036077766 | IL | Primary |
Addresses
Primary practice location
36100 N Brookside Dr Ste 203
Gurnee, IL 60031-4573
Mailing address
9800 Shelbyville Rd
Ste 220
Louisville, KY 40223-2992
Phone (502) 429-8585
Other practice location 1
1800 Hollister Dr Ste 210
Libertyville, IL 60048-5266
Phone (847) 549-7711
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04900809 | Other | IL | BCBS PROVIDER ID |
| 030004998 | Other | IL | RR MEDICARE PROVIDER ID |
| 036077766 2 | Medicaid | IL |
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.25 of 100
- Quality
- 86.03
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 73.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036077766 | IL | MD | Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PSF PLLC | Allergy & Immunology | Current | Accepting new patients |
Locations
36100 N Brookside Dr
Ste 203
Gurnee, IL 60031
Phone (847) 775-1112
1800 Hollister Dr
Ste 210
Libertyville, IL 60048
Phone (847) 549-7711
9800 Shelbyville Rd
Ste 220
Louisville, KY 40223
Phone (502) 429-8585
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": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1861591661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9800 SHELBYVILLE RD",
"address_2": "STE 220",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402232992",
"telephone_number": "502-429-8585",
"fax_number": "855-656-7325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36100 N BROOKSIDE DR STE 203",
"city": "GURNEE",
"state": "IL",
"postal_code": "600314573",
"telephone_number": "847-855-1570",
"fax_number": "847-855-1890"
}
],
"practiceLocations": [
{
"address_1": "1800 Hollister Dr Ste 210",
"address_purpose": "LOCATION",
"city": "Libertyville",
"state": "IL",
"postal_code": "600485266",
"country_code": "US",
"telephone_number": "847-549-7711",
"fax_number": "847-549-1020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAPLAN",
"first_name": "MARK",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "IL",
"license": "036077766",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "IL",
"license": "036077766",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "04900809",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PROVIDER ID",
"identifier": "030004998",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036077766 2",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.