Individual provider Active NPI

Amanda Kae Leonberg-Yoo, MD

  • Nephrology Physician
  • Philadelphia, PA
National Provider Identifier
1326369018
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD458822 Issued in PA
Practice address
3400 Spruce Street
1 Founders, Renal
Philadelphia, PA 19104
Phone
(215) 662-2638
NPI assigned
Jun 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD458822 PA Primary

Addresses

Primary practice location

3400 Spruce Street
1 Founders, Renal
Philadelphia, PA 19104

Mailing address

3400 Spruce Street
1 Founders, Renal
Philadelphia, PA 19104
Phone (215) 662-2638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160926001164 PA Practitioner - Nephrology 0244556371 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Creighton University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

3400 Spruce St 210 White Building
Renal Electrolyte Hup
Philadelphia, PA 19104-4228
Phone (215) 662-2638

Hospital & facility affiliations

  • DaVita Philadelphia PMC Dialysis Dialysis facility, Philadelphia, PA, CCN 392538
  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health Nephrology CurrentSince Oct 12, 2022 Accepting new patients
University of Penn-Medical Group CurrentSince Aug 1, 2016 Accepting new patients
University of Penn - Medical Group Nephrology CurrentSince Aug 1, 2016 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Oct 12, 2022 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Past Accepting new patients

Locations

4952 Parkside Ave
Philadelphia, PA 19131
Phone (215) 871-0810

3400 Spruce St
Fl 1
Philadelphia, PA 19104
Phone (215) 662-3005

3701 Market St
Fl 1
Philadelphia, PA 19104
Phone (215) 662-2250

PO B0x 824320
Philadelphia, PA 19182

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

4126 Walnut St
Philadelphia, PA 19104
Phone (215) 387-0500

250 King of Prussia Rd
Radnor, PA 19087
Phone (610) 902-1800

301 S 7th Ave
West Reading, PA 19611
Phone (610) 374-2214

301 S 7th Ave
Ste 2070
West Reading, PA 19611
Phone (484) 628-0028

301 S 7th Ave
Ste 3120
West Reading, PA 19611
Phone (484) 628-2445

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1326369018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE STREET",
            "address_2": "1 FOUNDERS, RENAL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-662-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE STREET",
            "address_2": "1 FOUNDERS, RENAL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-662-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONBERG-YOO",
        "first_name": "AMANDA",
        "middle_name": "KAE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD458822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.