Active NPI
Audrey K. Kleeman, M.D.
- Internal Medicine Physician
- Richboro, PA
National Provider Identifier
1407898216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD035499E
- Practice address
- 1057 Second Street Pike
Richboro, PA 18954 - Phone
- (215) 357-5760
- Fax
- (267) 364-2005
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD035499E | PA | Primary |
Addresses
Primary practice location
1057 Second Street Pike
Richboro, PA 18954
Mailing address
41 University Dr
Suite 300
Newtown, PA 18940-1873
Phone (215) 710-5522
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1222774 | Other | PA | CIGNA |
| 877557 | Other | PA | UNITED HEALTHCARE |
| PA0047081 | Other | PA | TRICARE |
| 01191856-01 | Other | PA | AMERICHOICE |
| 0011918560010 | Medicaid | PA | |
| 01486 | Other | PA | HEALTH PARTNERS |
| 110170082 | Other | PA | RAILROAD MEDICARE |
| 291 | Other | PA | AETNA |
| 405148 | Other | PA | BLUE SHIELD |
| 0054679000 | Other | PA | KEYSTONE, IBC |
| 1022040 | Other | PA | KEYSTONE MERCY |
| 1555092 | Other | PA | PHCS |
| 1591630 | Other | PA | FIRST HEALTH |
| 405148 | Other | PA | PERSONAL CHOICE |
| 8845 | Other | PA | CLEARCARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD035499E | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health Mid-Atlantic Medical Group | Past | Accepting new patients | |
| Aria Health Physician Services | Internal Medicine | Past | Accepting new patients |
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.
-
dba Ahps-Oxford Valley Internal Medicine
- Internal Medicine Physician
- Langhorne, PA
- NPI 1558497636
-
dba Holland Family Practice
- Family Medicine Physician
- Holland, PA
- NPI 1144521444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1407898216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 UNIVERSITY DR",
"address_2": "SUITE 300",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189401873",
"telephone_number": "215-710-5522",
"fax_number": "215-710-5181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1057 SECOND STREET PIKE",
"city": "RICHBORO",
"state": "PA",
"postal_code": "18954",
"telephone_number": "215-357-5760",
"fax_number": "267-364-2005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEEMAN",
"first_name": "AUDREY",
"middle_name": "K.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD035499E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1222774",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "877557",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "PA0047081",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "01191856-01",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011918560010",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "01486",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110170082",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "291",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "405148",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE, IBC",
"identifier": "0054679000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "1022040",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "1555092",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1591630",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "405148",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLEARCARE",
"identifier": "8845",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richboro, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.