Dr Stuart D Kaplan, MD - Medicare Rheumatology in Hewlett, NY

Dr Stuart D Kaplan, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Hewlett, New York. He went to Albert Einstein College Of Medicine Of Yeshiva University and graduated in 1985 and has 39 years of diverse experience with area of expertise as Rheumatology. He is a member of the group practice Rheumatology Consultants, Llp and his current practice location is 1157 Broadway, Hewlett, New York. You can reach out to his office (for appointments etc.) via phone at (516) 295-4481.

Dr Stuart D Kaplan is licensed to practice in New York (license number 168123) 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 1316940984.

Contact Information

Dr Stuart D Kaplan, MD
1157 Broadway,
Hewlett, NY 11557-2321
(516) 295-4481
(516) 295-4809

Map and Direction




Physician's Profile

Full NameDr Stuart D Kaplan
GenderMale
SpecialityRheumatology
Experience39 Years
Location1157 Broadway, Hewlett, New York
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 Stuart D Kaplan attended and graduated from Albert Einstein College Of Medicine Of Yeshiva University in 1985
  NPI Data:
  • NPI Number: 1316940984
  • Provider Enumeration Date: 05/27/2005
  • Last Update Date: 11/19/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6507873551
  • Enrollment ID: I20061101000031

Medical Identifiers

Medical identifiers for Dr Stuart D Kaplan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316940984NPI-NPPES
03406AOtherNYMEDICARE GHI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RR0500XInternal Medicine - Rheumatology 168123 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rheumatology Consultants, Llp50926047449

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 Stuart D Kaplan allows following entities to bill medicare on his behalf.
Entity NameRheumatology Consultants, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851344782
PECOS PAC ID: 5092604744
Enrollment ID: O20040311001223

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 Stuart D 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 Stuart D Kaplan, MD
1157 Broadway,
Hewlett, NY 11557-2321

Ph: (516) 295-4481
Dr Stuart D Kaplan, MD
1157 Broadway,
Hewlett, NY 11557-2321

Ph: (516) 295-4481

Reviews and Comments


Internal Medicine Doctors in Hewlett, NY

Richard Louis Markowitz, MD
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 1553 Broadway, Hewlett, NY 11557
Phone: 516-374-1677    Fax: 516-374-8666
Gerald Einaugler, MD
Rheumatology
Medicare: Not Enrolled in Medicare
Practice Location: 33 Newport Drive, Hewlett, NY 11557
Phone: 516-532-3720    Fax: 516-791-6416
Dr. Serina T Chung, M.D.
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 1157 Broadway, Hewlett, NY 11557
Phone: 516-295-4481    Fax: 516-295-4809
Daniel H Cohen, M.D.
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 1157 Broadway, Hewlett, NY 11557
Phone: 516-295-4481    Fax: 516-295-4809
Dr. Lawrence Howard Gottlieb, MD
Rheumatology
Medicare: Not Enrolled in Medicare
Practice Location: 1420 Broadway, Hewlett, NY 11557
Phone: 516-374-8600    Fax: 516-374-5325
Barbara C Mandell, MD
Rheumatology
Medicare: Medicare Enrolled
Practice Location: 1490 Broadway, 2nd Floor, Hewlett, NY 11557
Phone: 516-569-2900    Fax: 516-569-3442

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.