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DR. RICHARD ALAN KAPLAN MD
NPI 1356378384
Pediatrics - Pediatric Nephrology in Park Ridge, IL

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment
1675 DEMPSTER ST, PARK RIDGE, IL 60068(847) 723-9330(847) 723-9051 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 20, 2025, May 25, 2022 (2 updates tracked since 2022).

About Dr. Richard Alan Kaplan Md NPPES

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

DR. RICHARD ALAN KAPLAN MD (NPI 1356378384) is an individual pediatric nephrology provider in Park Ridge, Illinois, licensed in Illinois (036086340) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1987).

NPPES Registry Identity

NPI1356378384
Entity TypeIndividualMale
Primary Taxonomy2080P0210X
Provider Legal NameDR. RICHARD ALAN KAPLANCredential: MD
Location Address1675 DEMPSTER STPark Ridge, IL 60068-1110
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Phone(847) 723-9330
Fax(847) 723-9051
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1987
Enumeration DateJune 26, 2006
Last NPPES UpdateMarch 20, 20252 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1356378384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in IL · 036086340
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
1675 DEMPSTER ST, Park Ridge, IL 60068
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Richard Alan 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 ID2466587415
PECOS Enrollment IDI20100317000080
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.

Medicare Billing Reassignment

Medicare enrollment records show Richard Kaplan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lutheran General Hospital
0.1 mi
Cardiovascular Disease
1775 DEMPSTER ST
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
NPI 1801809306 (847) 723-2210

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KYUBIN KYUNG DO
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 318-9300
DR. NOUR AKHRAS M.D.
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 318-9300
DR. JURAT SINGH RAJPAL M.D.
Pediatrics (Pediatric Nephrology)
1675 DEMPSTER ST, SECOND FLOOR
PARK RIDGE, IL 60068
Cook County (847) 318-9330
DR. CHRISTOPHER M JAMERSON M.D.
Pediatrics
1675 DEMPSTER ST, YACKTMAN PAVILION
PARK RIDGE, IL 60068
Cook County (847) 723-9557
SUSAN MICHELE UNFER M.D.
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 318-9300
DR. WILLIAM RICHARD GOODELL M.D.
Pediatrics (Pediatric Hematology-Oncology)
1675 DEMPSTER ST, 2ND FLOOR
PARK RIDGE, IL 60068
Cook County (847) 723-9400
RABIAH BASITH
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 318-9300
JASPER KUHN MD
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-2210

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 Richard Kaplan's NPI number?

The NPI number for Richard Kaplan is 1356378384. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Richard Kaplan located?

Richard Kaplan practices at 1675 Dempster St, Park Ridge, IL 60068. The listed phone number is (847) 723-9330.

What is Richard Kaplan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Richard Kaplan enrolled in Medicare?

Yes. Richard 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.

Which organization bills Medicare for Richard Kaplan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Kaplan reassigns Medicare benefits to Lutheran General Hospital (Park Ridge, IL). The 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 Richard Kaplan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Kaplan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Richard 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 Richard Kaplan was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.