Dr Adolfo Enrique Kaplan, MD - Medicare Critical Care (intensivists) in Weslaco, TX

Dr Adolfo Enrique Kaplan, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Weslaco, Texas. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Ricardo Abreu, M.d., Pa and his current practice location is 1604 E 8th St, Suite A, Weslaco, Texas. You can reach out to his office (for appointments etc.) via phone at (956) 447-5557.

Dr Adolfo Enrique Kaplan is licensed to practice in Texas (license number M0452) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417984899.

Contact Information

Dr Adolfo Enrique Kaplan, MD
1604 E 8th St, Suite A,
Weslaco, TX 78596-5587
(956) 447-5557
(956) 447-5747

Map and Direction




Physician's Profile

Full NameDr Adolfo Enrique Kaplan
GenderMale
SpecialityCritical Care (intensivists)
Experience31 Years
Location1604 E 8th St, Weslaco, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Adolfo Enrique Kaplan graduated from medical school in 1993
  NPI Data:
  • NPI Number: 1417984899
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 11/12/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6709832801
  • Enrollment ID: I20050322000797

Medical Identifiers

Medical identifiers for Dr Adolfo Enrique Kaplan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417984899NPI-NPPES
171849601MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine M0452 (Texas)Secondary
207RS0012XInternal Medicine - Sleep Medicine M0452 (Texas)Secondary
207RP1001XInternal Medicine - Pulmonary Disease M0452 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
South Texas Health SystemEdinburg, TXHospital
Doctors Hospital At RenaissanceEdinburg, TXHospital
Knapp Medical CenterWeslaco, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ricardo Abreu, M.d., Pa468864352119

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Adolfo Enrique Kaplan allows following entities to bill medicare on his behalf.
Entity NameRicardo Abreu, M.d., Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366475923
PECOS PAC ID: 4688643521
Enrollment ID: O20040928000877

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Adolfo Enrique Kaplan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Adolfo Enrique Kaplan, MD
1604 E 8th St, Suite A,
Weslaco, TX 78596-5587

Ph: (956) 447-5557
Dr Adolfo Enrique Kaplan, MD
1604 E 8th St, Suite A,
Weslaco, TX 78596-5587

Ph: (956) 447-5557

Reviews and Comments


Internal Medicine Doctors in Weslaco, TX

Fatimah Oluwakemi Bello, MD, MPH
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1330 E 6th St Ste 105, Weslaco, TX 78596
Phone: 956-296-7710    Fax: 956-296-7705
Melissa Garza, FNP-BC
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 1010 James St, Weslaco, TX 78596
Phone: 956-968-1621    
Chelsea Chang, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1330 E 6th St Ste 105, Weslaco, TX 78596
Phone: 956-296-7710    Fax: 956-296-7705
Dr. Habib Mohammad-hussein Ghaddar, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1330 E 6th St, Suite 204, Weslaco, TX 78596
Phone: 956-969-0021    Fax: 956-698-9744
Mario Gomez Delgado De La Flor, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1604 E 8th St Ste A, Weslaco, TX 78596
Phone: 956-447-5557    Fax: 956-447-5747
Pedro J Penalo, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 906 S Bridge Ave, Weslaco, TX 78596
Phone: 956-447-8600    Fax: 956-447-0335
Mr. Pedro E Mcdougal, M.D. F.A.C.P.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1010 James St, Weslaco, TX 78596
Phone: 956-968-1621    Fax: 956-447-8626

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.