Andre A Kaplan, MD - Medicare Nephrology in Farmington, CT

Andre A Kaplan, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Farmington, Connecticut. He graduated from medical school in 1978 and has 40 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice University Of Connecticut Health Center and his current practice location is 263 Farmington Ave, Nephrology, Farmington, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 679-2160.

Andre A Kaplan is licensed to practice in Connecticut (license number 024921) 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 1073519294.

Contact Information

263 Farmington Ave
Nephrology
Farmington
CT 06030-0001
(860) 679-2160
(860) 679-1042

Map and Direction




Physician's Profile

Full NameAndre A Kaplan
GenderMale
SpecialityNephrology
Experience40 Years
LocationFarmington, Connecticut
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:
  • Andre A Kaplan graduated from medical school in 1978
  NPI Data:
  • NPI Number: 1073519294
  • Provider Enumeration Date: 06/22/2005
  • Last Update Date: 03/11/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6608059779
  • Enrollment ID: I20110328000230

Medical Identifiers

Medical identifiers for Andre A Kaplan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073519294NPI-NPPES
1073519294MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 024921 (Connecticut)Primary

Hospital Affiliation

Hospital NameLocationType
John Dempsey HospitalFarmington, CTAcute Care Hospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Connecticut Health Center3678472016399

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. Andre A Kaplan allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Connecticut Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720083769
PECOS PAC ID: 3678472016
Enrollment ID: O20040106000105

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. Andre A Kaplan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Medicare Quality Measures

Quality ProgramParticipation
Reported to Medicare Physician Quality Reporting System (PQRS) Yes
Used Electronic Health Record (EHR) Yes
Committed to heart health through the Million Hearts Initiative No

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Andre A Kaplan, MD
263 Farmington Ave
Provider Enrollment
Farmington
CT 06030-2212

Ph: (860) 679-7503
Andre A Kaplan, MD
263 Farmington Ave
Nephrology
Farmington
CT 06030-0001

Ph: (860) 679-2160

Reviews and Comments

Internal Medicine Doctors in Farmington, CT

Andrew Arnold, MD
Nephrology
Medicare: Medicare Enrolled
Practice Location: 263 Farmington Ave, Farmington, CT 06030
Phone: 860-679-3245    Fax: 860-679-1867
Scott R Allen, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 263 Farmington Ave, Farmington, CT 06030
Phone: 860-679-4477    Fax: 860-679-1025
Carl D Malchoff, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 263 Farmington Ave, Farmington, CT 06030
Phone: 860-679-3245    Fax: 860-679-1867
Beatriz R Esayag-tendler, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 263 Farmington Ave, Farmington, CT 06030
Phone: 860-679-3343    Fax: 860-679-4256
Shobhana Pathani, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 263 Farmington Ave, Farmington, CT 06030
Phone: 860-679-4477    Fax: 860-679-4474
Dr. Omprakash Bhaskara Pillai, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 263 Farmington Ave, Farmington, CT 06030
Phone: 860-627-2113    
Deepa Nankani, M.D
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: Uconn Health Center 263 Farmington Ave, Farmington, CT 06030
Phone: 860-856-1361    

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.