DR. JEROLD ZELIG KAPLAN M.D.
NPI 1457375750
Specialist in Berkeley, CA
NPI Status: Active since July 27, 2006
Contact Information
2450 ASHBY AVE
BERKELEY, CA
ZIP 94705
Phone: (510) 704-4064
Fax: (707) 962-0801
- Individual
- Male
- Specialist
- PECOS Enrolled
About JEROLD KAPLAN
This page provides the complete NPI Profile along with additional information for Jerold Kaplan, a provider established in Berkeley, California with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1457375750 assigned on July 2006. The practitioner's primary taxonomy code is 174400000X with license number C37413 (CA). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1457375750
- Provider Name
- DR. JEROLD ZELIG KAPLAN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2450 ASHBY AVE BERKELEY, CA 94705
- Location Phone
- (510) 704-4064
- Location Fax
- (707) 962-0801
- Mailing Address
- 2450 ASHBY AVE BERKELEY, CA 94705
- Mailing Phone
- (510) 704-4064
- Mailing Fax
- (707) 962-0801
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-27-2006
- Last Update Date
- 07-09-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- C37413
- License State
- CA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| A36619 | MEDICARE UPIN (02) | CA | |
| 00C374130 | MEDICARE ID-TYPE UNSPECIFIED (04) | CA | MEDICARE |
| 00C374130 | MEDICAID (05) | CA |
Medicare Participation & PECOS Enrollment Status
Jerold Kaplan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient home visit, typically 25 minutes
Hip replacement
Knee replacement
Laminectomy or laminotomy (partial removal of spine bones)
Melanoma (skin cancer) excision
New patient home visit, typically 1 hour
Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less
Removal of muscle and/or tissue, 20.0 sq cm or less
Replacement of knee joint, both sides of knee
Replacement of thigh bone and hip joint with prosthesis
Spinal fusion
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
This service was performed 16 times for 13 patientsA hip replacement is a surgical procedure where a worn-out or damaged hip joint is replaced with an artificial one. This procedure can greatly reduce pain and improve mobility. It's often recommended when other treatments like physical therapy or medications fail to alleviate symptoms.
This service was performed for 36 patientsA knee replacement is a surgical procedure where a damaged or diseased knee joint is replaced with an artificial one. This can relieve pain and improve mobility. The procedure involves removing damaged parts of the knee and inserting a prosthetic joint. Recovery may take several weeks.
This service was performed for 33 patientsA laminectomy or laminotomy is a surgical procedure that involves removing part of the bone in your spine, specifically the lamina, to alleviate pressure on your spinal cord or nerves. This can help reduce pain and improve mobility if you're suffering from conditions like herniated discs or spinal stenosis.
This service was performed for 1-10 patientsMelanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.
This service was performed for 1-10 patientsA new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
This service was performed 12 times for 12 patientsA partial thickness self skin graft involves taking a thin layer of healthy skin from one area of your body and transplanting it to a damaged area on your trunk, arms, or legs. This procedure is used to treat a variety of skin conditions and injuries. It covers a maximum of 100.0 sq cm or 1% of body area for infants and children.
This service was performed 12 times for 12 patientsThis procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
This service was performed 19 times for 18 patientsA bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
This service was performed 33 times for 32 patientsThis procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
This service was performed 54 times for 52 patientsSpinal fusion is a surgical procedure aimed at connecting two or more vertebrae in your spine to reduce pain and improve stability. It involves using a bone graft to cause the vertebrae to grow together, limiting the movement between them. This procedure is often performed to treat conditions like herniated discs or spinal stenosis.
This service was performed for 1-10 patientsReviews for DR. JEROLD ZELIG KAPLAN M.D.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1457375750, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BERKELEY, CA 94705
BERKELEY, CA 94705
BERKELEY, CA 94705
BERKELEY, CA 94705
BERKELEY, CA 94705
BERKELEY, CA 94705
BERKELEY, CA 94705
BERKELEY, CA 94705
BERKELEY, CA 94705
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457375750, enumerated as an "individual" on July 27, 2006.
The provider is located at 2450 ASHBY AVE BERKELEY, CA 94705 and the phone number is (510) 704-4064.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
