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ILYA KAPLAN MD
NPI 1184720138
Internal Medicine - Cardiovascular Disease in Bronx, NY

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1200 WATERS PLACE SUITE 308, BRONX, NY 10469(718) 881-4891(718) 881-0696 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jun 6, 2017 (2 updates tracked since 2017).

About Ilya Kaplan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILYA KAPLAN MD (NPI 1184720138) is an individual cardiovascular disease provider in Bronx, New York, licensed in New York (205349) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (1995).

NPPES Registry Identity

NPI1184720138
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameILYA KAPLANCredential: MD
Location Address1200 WATERS PLACE SUITE 308Bronx, NY 10469
Mailing Address1200 Waters Place Suite 308Bronx, NY 10469 · (718) 881-4891 · Fax (718) 881-0696
Phone(718) 881-4891
Fax(718) 881-0696
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1995
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1184720138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NY · 205349
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1200 WATERS PLACE SUITE 308, Bronx, NY 10469
Open in Google Maps ↗

Other Identifiers 1

Medicaid02688508NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ilya Kaplan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507832649
PECOS Enrollment IDI20040909000389
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
172 services63 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
161 services61 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
142 services120 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
81 services81 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
65 services60 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
64 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10469 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ilya Kaplan's NPI number?

The NPI number for Ilya Kaplan is 1184720138. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Ilya Kaplan located?

Ilya Kaplan practices at 1200 Waters Place Suite 308, Bronx, NY 10469. The listed phone number is (718) 881-4891.

What is Ilya Kaplan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Ilya Kaplan enrolled in Medicare?

Yes. Ilya Kaplan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ilya Kaplan was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.