Individual provider Active NPI

Leemu Valerie Kerkula, M.D.

  • Internal Medicine Physician
  • Media, PA
National Provider Identifier
1639331127
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD440273 Issued in PA
Practice address
5201 Pennell Rd Ste a
Media, PA 19063-6502
Phone
(877) 346-4543
Fax
(866) 225-3490
NPI assigned
Jun 26, 2008
Last updated
Jun 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD440273 PA Primary

Addresses

Primary practice location

5201 Pennell Rd Ste a
Media, PA 19063-6502

Mailing address

5201 Pennell Rd Ste a
Media, PA 19063-6502
Phone (877) 346-4543

Other identifiers 2

IdentifierTypeStateIssuer
1024945570001MedicaidPA
1629397294OtherPANPPES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110420000035 PA Practitioner - Internal Medicine 6103001060 Reassigns benefits to 1 organization
I20190322002138 DE Practitioner - Internal Medicine 6103001060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians

Practice addresses (Care Compare)

201 2ND Ave
Collegeville, PA 19426-3613
Phone (610) 489-7703

5201 Pennell Rd
Suite a
Media, PA 19063-6502
Phone (610) 497-4040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
36.02 of 100Reported as individual
Quality
30
Improvement activities
0
Cost
80.08

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aston Medical Associates Current Accepting new patients
United Medical Clinic, LLC Internal Medicine CurrentSince Feb 28, 2019 Accepting new patients
United Medical Clinic of PA, LLC Internal Medicine CurrentSince Aug 23, 2010 Accepting new patients

Locations

121 Becks Woods Dr
Ste 100
Bear, DE 19701
Phone (302) 836-8200

161 Becks Woods Dr
Bear, DE 19701
Phone (302) 365-8333

5027 Pennell Rd
Aston, PA 19014
Phone (484) 227-9440

5201 Pennell Rd
Ste A
Media, PA 19063
Phone (610) 497-4040

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJDBCD/Endpoint/AJDBCD

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1639331127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 PENNELL RD STE A",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190636502",
            "telephone_number": "877-346-4543",
            "fax_number": "866-225-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 PENNELL RD STE A",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190636502",
            "telephone_number": "877-346-4543",
            "fax_number": "866-225-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERKULA",
        "first_name": "LEEMU",
        "middle_name": "VALERIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD440273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024945570001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1629397294",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.