Individual provider Active NPI

Carol Eileen Kleback, M.D.

  • Pediatrics Physician
  • Lansdale, PA
National Provider Identifier
1073513503
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD417359 Issued in PA
Practice address
108 Cowpath Rd
Suite 1
Lansdale, PA 19446-1152
Phone
(215) 855-1599
Fax
(215) 855-1589
NPI assigned
Jul 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD417359 PA Primary

Addresses

Primary practice location

108 Cowpath Rd
Suite 1
Lansdale, PA 19446-1152

Mailing address

123 Summer Ridge Dr
Lansdale, PA 19446-6709
Phone (215) 361-3845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD417359PAMDPediatrics Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073513503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SUMMER RIDGE DR",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194466709",
            "telephone_number": "215-361-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 COWPATH RD",
            "address_2": "SUITE 1",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461152",
            "telephone_number": "215-855-1599",
            "fax_number": "215-855-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEBACK",
        "first_name": "CAROL",
        "middle_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD417359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.