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DR. CARL PHILIP KAPLAN MD
NPI 1962515825
Pediatrics - Pediatric Emergency Medicine in Stony Brook, NY

Active since August 16, 2006PECOS Enrolled
DEPT OF PEDIATRICS STONY BROOK UNIVERSITY, HSC T-11, ROOM 020, STONY BROOK, NY 11794(631) 444-8014(631) 444-7865 Get Directions Write a Review

NPPES record last updated: April 21, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Carl Philip Kaplan Md NPPES

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

DR. CARL PHILIP KAPLAN MD (NPI 1962515825) is an individual pediatric emergency medicine provider in Stony Brook, New York, licensed in New York (227696) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962515825
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. CARL PHILIP KAPLANCredential: MD
Location AddressDEPT OF PEDIATRICS STONY BROOK UNIVERSITY, HSC T-11, ROOM 020Stony Brook, NY 11794-8111
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-0650
Phone(631) 444-8014
Fax(631) 444-7865
Sole ProprietorNo
Enumeration DateAugust 16, 2006
Last NPPES UpdateApril 21, 2015
✔ NPI 1962515825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in NY · 227696
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 227696 (NY)
DEPT OF PEDIATRICS STONY BROOK UNIVERSITY, Stony Brook, NY 11794
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Other Identifiers 3

Medicare UPINI35043
Medicare ID-Type Unspecified1531Q1NY
Medicaid02663445NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carl Philip Kaplan Md 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.

Medicare Billing Reassignment

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

Stony Brook Children's Service, University Faculty Practice Corporatio
0.7 mi
Pediatrics
SUNY @ STONY BROOK, HSC, L11, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 191 clinicians in this Medicare group
NPI 1083660575 (631) 444-1362

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

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 Carl Kaplan's NPI number?

The NPI number for Carl Kaplan is 1962515825. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Carl Kaplan located?

Carl Kaplan practices at Dept Of Pediatrics Stony Brook University Hsc T-11, Room 020, Stony Brook, NY 11794. The listed phone number is (631) 444-8014.

What is Carl Kaplan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Carl Kaplan enrolled in Medicare?

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

Which organization bills Medicare for Carl Kaplan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carl Kaplan reassigns Medicare benefits to Stony Brook Children's Service, University Faculty Practice Corporatio (Stony Brook, NY). 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 Carl 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 Carl Kaplan was last updated on April 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.