DR. PHILIP JONATHAN KAPLAN M.D.
NPI 1215978564
Pediatrics in Rockville, MD
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
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignments
2Medicare enrollment records show Philip Kaplan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rockville, MD 20850
- Reassigned Medicare billing, District of Columbia enrollment
- 251 clinicians in this Medicare group
Elkton, MD 21921
- Reassigned Medicare billing, District of Columbia enrollment
- 347 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Philip Kaplan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip Kaplan reassigns Medicare benefits to 2 organizations: Mep Health, LLC (Rockville, MD) and Usacs Integrated Acute Care Services Of Maryland, LLC (Elkton, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Philip Kaplan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Philip Kaplan was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Philip Jonathan Kaplan, M.D. · NPI 1215978564
Pediatrics physician in Rockville, Maryland. Individual provider, active in the CMS NPPES registry since June 9, 2006.
## Identity
- **NPI:** 1215978564 (Entity type: Individual)
- **Enumerated:** June 9, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** D0052120 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 15204 OMEGA DR STE 100, Rockville, MD 20850-4812
- **Phone:** (301) 279-6750 · **Fax:** (301) 208-8953
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mep Health, LLC (NPI 1164483558, Rockville, MD); Usacs Integrated Acute Care Services Of Maryland, LLC (NPI 1922598929, Elkton, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 13, 2023
- **Other identifiers:** Medicaid 257702000 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1215978564) · Data from the CMS NPPES public registry.