DR. PHILIP JONATHAN KAPLAN M.D.
NPI 1215978564
Pediatrics in Rockville, MD

Active since June 09, 2006PECOS Enrolled
15204 OMEGA DR STE 100, ROCKVILLE, MD 20850(301) 279-6750(301) 208-8953 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Philip Jonathan Kaplan M.d. NPPES

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

DR. PHILIP JONATHAN KAPLAN M.D. (NPI 1215978564) is an individual pediatrics provider in Rockville, Maryland, licensed in Maryland (D0052120) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215978564
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. PHILIP JONATHAN KAPLANCredential: M.D.
Location Address15204 OMEGA DR STE 100Rockville, MD 20850-4812
Mailing Address107 Autumn Wind WayRockville, MD 20850-2872 · (301) 279-5805 · Fax (301) 279-9023
Fax(301) 208-8953
Sole ProprietorNo
Enumeration DateJune 9, 2006
Last NPPES UpdateNovember 13, 2023
NPPES CertifiedNovember 8, 2023
NPI 1215978564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MD · D0052120
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License D0052120 (MD)
15204 OMEGA DR STE 100, Rockville, MD 20850

Other Identifiers 1

Medicaid257702000MD

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Philip Jonathan Kaplan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20850 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
15204 OMEGA DR STE 100
ROCKVILLE, MD 20850
Counselor (Mental Health)
15204 OMEGA DR STE 100
ROCKVILLE, MD 20850
Pediatrics
15204 OMEGA DR STE 100
ROCKVILLE, MD 20850
Pediatrics
15204 OMEGA DR STE 100
ROCKVILLE, MD 20850
Social Worker (Clinical)
15204 OMEGA DR STE 100
ROCKVILLE, MD 20850
Counselor
15204 OMEGA DR STE 100
ROCKVILLE, MD 20850
Pediatrics
15204 OMEGA DR STE 100
ROCKVILLE, MD 20850
Pediatrics
15204 OMEGA DR STE 100
ROCKVILLE, MD 20850

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 Philip Kaplan's NPI number?

The NPI number for Philip Kaplan is 1215978564. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Philip Kaplan located?

Philip Kaplan practices at 15204 Omega Dr Ste 100, Rockville, MD 20850. The listed phone number is (301) 279-6750.

What is Philip Kaplan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Philip Kaplan enrolled in Medicare?

Yes. Philip Kaplan is registered in the Medicare PECOS enrollment system.

What insurance does Philip Kaplan accept?

Health plans from Molina Healthcare list Philip Kaplan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Philip Kaplan was last updated on November 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.