MEDICARE: BENJAMIN JASON KAPLAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	DO3782	NV
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1790365419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENJAMIN JASON KAPLAN

Provider Business Mailing Address
First Line	:	5320 S RAINBOW BLVD STE 302
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-1896
Country	:	US
Telephone Number	:	702-763-7271
Fax Number	:	702-640-5910

Provider Business Practice Location Address
First Line	:	5320 S RAINBOW BLVD STE 302
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-1896
Country	:	US
Telephone Number	:	702-763-7271
Fax Number	:	702-640-5910

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2021
Last Update Date	:	01/21/2026

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