Individual provider

Craig Caplan, M.D.

Emergency Medical Services (Emergency Medicine) Physician Medicare enrolled

Craig Caplan, M.D. is an Emergency Medical Services (Emergency Medicine) Physician in Metairie, LA, registered under NPI 1205810900.

Getting there

The practice address on file is 4200 HOUMA BLVD EMERGENCY DEPARTMENT, Metairie, LA 70006. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4200 HOUMA BLVD EMERGENCY DEPARTMENT, Metairie, LA 70006 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
023591 LA Emergency Medical Services (Emergency… primary

This provider holds licence 023591 issued in LA. 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 - Emergency Medicine
PAC ID
9335181544

Medicare enrolment is recorded as approved under the provider type Practitioner - Emergency 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 Emergency Medical Services covers

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. NUCC Health Care Provider Taxonomy, code 207PE0004X
Allopathic & Osteopathic Physicians Emergency Medicine Emergency Medical Services

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.

NPI1205810900 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateDec 6, 2005
Last updatedFeb 21, 2025
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 4200 HOUMA BLVD
EMERGENCY DEPARTMENT
Metairie, LA 70006
(210) 614-0180
Fax (210) 566-5698
Other identifiers 1483443 (LA)
H4048Z · BCBS (LA)
This record was updated on Feb 21, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1205810900 passes the NPI check digit test The final digit 0 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 2 0 5 8 1 0 9 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 0 5 7 1 0 9 0

Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0

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 1205810900?
NPI 1205810900 is the National Provider Identifier assigned to Craig Caplan, M.D. in Metairie, LA. 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 Emergency Medical Services cover?
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
How do I contact Craig Caplan, M.D.?
The phone number on file with NPPES is (210) 614-0180, last updated Feb 21, 2025. 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 Craig Caplan, M.D. 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 1205810900 a valid number?
Yes. 1205810900 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.