Leena Vadaketh, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35076495 Issued in OH

Practice address

321 W Girard Ave
Phila, PA 19123-1531

Phone

(215) 685-3808

Fax

(215) 685-3848

NPI assigned

Jul 11, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City of PhiladelphiaGroup PAC ID 6305758723, 86 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: leena.vadaketh@pdphahs.eclinicaldirectplus.com

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

• City of Philadelphia

  dba Health Care Center 2

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1942317094
  Medicare reassignment Care Compare group NPD
• City of Philadelphia

  dba Phila Health Dept Laboratory

  • Clinical Medical Laboratory
  • Phila, PA
  • NPI 1689688798
  NPD
• Neighborhood Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
  • NPI 1184969370
  NPD (past)
• West End Health Center Inc

  • Clinic Pharmacy
  • Cincinnati, OH
  • NPI 1902993876
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396743787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 JOCKEYS WAY",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190673972",
            "telephone_number": "215-685-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W GIRARD AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191231531",
            "telephone_number": "215-685-3808",
            "fax_number": "215-685-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADAKETH",
        "first_name": "LEENA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35076495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2162056",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University Gastroenterology and Hepatology Associates PC
• University of Pennsylvania Medical Group
• Uphs Presbyterian Medical Ctr Dna
• US 1 Pharmacy (SWSP Enterprises) (us1 pharmaceuticals inc.)
• Sandra Ustaris
• Deborah Vadurro, NP
• Houshang Vahedi, M.D.
• Veronica Valdes, DDS
• Sherryce Valentine, BS
• Kathryn Elaine Vanderhei, MD

• Internal Medicine Physician in Phila, PA
• Providers in Phila, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.