Individual provider

Michael Kaplan, MD

Sports Medicine (Orthopaedic Surgery) Physician Medicare enrolled

Michael Kaplan, MD is a Sports Medicine (Orthopaedic Surgery) Physician in Middlebury, CT, registered under NPI 1124047196.

Getting there

The practice address on file is 1579 STRAITS TURNPIKE, Middlebury, CT 06762. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1579 STRAITS TURNPIKE, Middlebury, CT 06762 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
034194 CT Sports Medicine (Orthopaedic Surgery)… primary

This provider holds licence 034194 issued in CT. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Sports Medicine
PAC ID
6002824414

Medicare enrolment is recorded as approved under the provider type Practitioner - Sports Medicine. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Sports Medicine covers

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. NUCC Health Care Provider Taxonomy, code 207XX0005X
Allopathic & Osteopathic Physicians Orthopaedic Surgery Sports Medicine

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1124047196 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 19, 2006
Last updatedFeb 5, 2018
StatusActive
Sole proprietorNo
CredentialMD
Practice address 1579 STRAITS TURNPIKE
Middlebury, CT 06762
(203) 758-1272
Fax (203) 758-1070
Other identifiers 341940 · CONNECTICARE INSURANCE (CT)
00134194000 · ANTHEM BC FAMILY PLAN (CT)
010034194CT01 · ANTHEM BC BS OF CT (CT)
0R0384 · HEALTHNET (CT)
NHS375 · OXFORD HEALTH PLANS (CT)
1341940 (CT)
501812 · AETNA HEALTHCARE (CT)
This record was last updated on Feb 5, 2018, roughly 8 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1124047196 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 2 4 0 4 7 1 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 4 4 0 4 5 1 9

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1124047196?
NPI 1124047196 is the National Provider Identifier assigned to Michael Kaplan, MD in Middlebury, CT. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Sports Medicine cover?
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary…
How do I contact Michael Kaplan, MD?
The phone number on file with NPPES is (203) 758-1272, last updated Feb 5, 2018. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Michael Kaplan, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1124047196 a valid number?
Yes. 1124047196 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.