Individual provider Active NPI

Kai Gerald Wleh

  • Specialist
  • Philadelphia, PA
National Provider Identifier
1336038603
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
BH001156 Issued in PA
Practice address
2121 Glendale Ave Apt 211
Philadelphia, PA 19152-3758
Phone
(267) 584-1936
Fax
(267) 584-1936
NPI assigned
Jul 1, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X BH001156 PA Primary

Addresses

Primary practice location

2121 Glendale Ave Apt 211
Philadelphia, PA 19152-3758

Mailing address

2121 Glendale Ave Apt 211
Philadelphia, PA 19152-3758
Phone (267) 584-1936

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

State licenses

LicenseStateTypeSpecialty
BH001156PAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1336038603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 GLENDALE AVE APT 211",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523758",
            "telephone_number": "267-584-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 GLENDALE AVE APT 211",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523758",
            "telephone_number": "267-584-1936",
            "fax_number": "267-584-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WLEH",
        "first_name": "KAI",
        "middle_name": "GERALD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "BH001156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.