NPIMap

Individual provider Active NPI

Irina Inna Kaplan, MD

  • Family Medicine Physician
  • Waterford, NY
National Provider Identifier
1942382718
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
214690 Issued in NY
Practice address
158 Saratoga Ave
Waterford, NY 12188-2205
Phone
(518) 233-1162
Fax
(518) 233-0903
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 214690 NY Primary

Addresses

Primary practice location

158 Saratoga Ave
Waterford, NY 12188-2205

Mailing address

PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5634

Other practice location 1

55 Mohawk St Ste 105
Cohoes, NY 12047-2600
Phone (518) 235-7282

Other practice location 2

35 Lower Hudson Ave
Green Island, NY 12183-1014
Phone (518) 270-9413

Other identifiers 1

IdentifierTypeStateIssuer
01976952MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040812000814 NY Practitioner - Family Practice 1658343207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

158 Saratoga Ave
Waterford, NY 12188-2205
Phone (518) 233-1162

2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3554

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York Family Medicine CurrentSince Oct 1, 2015 Accepting new patients
Community Care Physicians, PC Family Medicine PastSince Jan 1, 1998 Accepting new patients

Locations

55 Mohawk St
Ste 105
Cohoes, NY 12047
Phone (518) 235-7282

35 Lower Hudson Ave
Green Island, NY 12183
Phone (518) 237-7033

147 Hoosick St
Troy, NY 12180
Phone (518) 268-5749

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

158 Saratoga Ave
Waterford, NY 12188
Phone (518) 233-1162

Interoperability endpoints

  • Direct secure messaging: ikaplan834588@direct.trinity-health.org

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1942382718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5634",
            "fax_number": "518-649-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 SARATOGA AVE",
            "city": "WATERFORD",
            "state": "NY",
            "postal_code": "121882205",
            "telephone_number": "518-233-1162",
            "fax_number": "518-233-0903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Mohawk St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Cohoes",
            "state": "NY",
            "postal_code": "120472600",
            "country_code": "US",
            "telephone_number": "518-235-7282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Lower Hudson Ave",
            "address_purpose": "LOCATION",
            "city": "Green Island",
            "state": "NY",
            "postal_code": "121831014",
            "country_code": "US",
            "telephone_number": "518-270-9413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "IRINA",
        "middle_name": "INNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "214690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01976952",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, NY

Sources for this page

Verify at the official NPI Registry.