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JOEL ADAM KAPLAN DO
NPI 1306063128
Pediatrics - Pediatric Hematology-Oncology in Charlotte, NC

Active since April 20, 2007PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1001 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 381-9900 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 52 more (55 updates tracked since 2018).

About Joel Adam Kaplan Do NPPES

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

JOEL ADAM KAPLAN DO (NPI 1306063128) is an individual pediatric hematology-oncology provider in Charlotte, North Carolina, licensed in North Carolina (2007-00310) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306063128
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameJOEL ADAM KAPLANCredential: DO
Location Address1001 BLYTHE BLVDCharlotte, NC 28203-5866
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 381-9900
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateApril 20, 2007
Last NPPES UpdateJuly 15, 202455 updates tracked since enumeration
✔ NPI 1306063128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in NC · 2007-00310
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 2007-00310 (NC)
Also ListedPediatricsTaxonomy 208000000X · License 2007-00310 (NC)
1001 BLYTHE BLVD, Charlotte, NC 28203
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1100 Medical Park Dr, Ste 310Concord, NC 28025-2948 · Phone (704) 403-2660
Location 21001 Blythe BlvdCharlotte, NC 28203-5866 · Phone (704) 381-9900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

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

Joel Adam Kaplan Do 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 ID6507957180
PECOS Enrollment IDI20070810000684
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

AMANDA MARIE SEBRING MD
Pediatrics (Pediatric Critical Care Medicine)
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
HANNA LYN JAKOBEK NP
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
JANETTA KITCHKO PA
Physician Assistant
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
NICOLE A. CAGLE RICHARDSON MD
Pediatrics
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
GAIL MARGARET HARRIS NP
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
PAMELA CAROL JACKSON NP
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
BRITTANY FORREN ROGERS NP
Nurse Practitioner
1001 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-1450
MS. RACHAEL LAMERE KAIN PA-C
Physician Assistant (Surgical)
1001 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 446-3350

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 Joel Kaplan's NPI number?

The NPI number for Joel Kaplan is 1306063128. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Joel Kaplan located?

Joel Kaplan practices at 1001 Blythe Blvd, Charlotte, NC 28203. The listed phone number is (704) 381-9900.

What is Joel Kaplan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Joel Kaplan enrolled in Medicare?

Yes. Joel 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.

What insurance does Joel Kaplan accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Joel 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.

Is Joel Kaplan affiliated with any hospitals?

According to CMS data, Joel Kaplan is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Joel Kaplan was last updated on July 15, 2024. 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.