Individual provider Active NPI

Richard E Leyman, PA-C

  • Medical Physician Assistant
  • Ridley Park, PA
National Provider Identifier
1386646792
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA050782 Issued in PA
Practice address
1 Bartol Ave
Suite 10
Ridley Park, PA 19078-2214
Phone
(610) 521-0150
Fax
(610) 521-0567
NPI assigned
Aug 15, 2005
Sex
Male
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
Medical Physician Assistant 363AM0700X MA050782 PA Primary

Addresses

Primary practice location

1 Bartol Ave
Suite 10
Ridley Park, PA 19078-2214

Mailing address

1 Bartol Ave
Suite 10
Ridley Park, PA 19078-2214
Phone (610) 521-0150

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040211000083 PA Practitioner - Physician Assistant 8325932304 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA050782PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Group LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: richard.leyman@subpulmed.cernerdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386646792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BARTOL AVE",
            "address_2": "SUITE 10",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190782214",
            "telephone_number": "610-521-0150",
            "fax_number": "610-521-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARTOL AVE",
            "address_2": "SUITE 10",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190782214",
            "telephone_number": "610-521-0150",
            "fax_number": "610-521-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYMAN",
        "first_name": "RICHARD",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA050782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridley Park, PA

Sources for this page

Verify at the official NPI Registry.