NPIMap

Individual provider Active NPI

Leonid Magidenko, MD

  • Internal Medicine Physician
  • Feasterville Trevose, PA
National Provider Identifier
1821052143
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD056532L Issued in PA
Practice address
518 Bustleton Pike FL 1
Feasterville Trevose, PA 19053-6035
Phone
(215) 464-6040
Fax
(215) 464-6046
NPI assigned
Apr 13, 2006
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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 MD056532L PA Primary

Addresses

Primary practice location

518 Bustleton Pike FL 1
Feasterville Trevose, PA 19053-6035

Mailing address

3509 N Broad St
Philadelphia, PA 19140-4105

Other identifiers 1

IdentifierTypeStateIssuer
0018355880001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091014000340 PA Practitioner - Internal Medicine 4880696566 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Temple Physicians IncGroup PAC ID 2062317233, 154 clinicians

Practice addresses (Care Compare)

518 Bustleton Pike
Feasterville Trevose, PA 19053-6035
Phone (215) 464-6040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
97.14
Improvement activities
40
Cost
89.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD056532LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Physician Inc. Internal Medicine CurrentSince Dec 22, 2025 Accepting new patients
Leonid Magidenko, MD, PC CurrentSince Oct 1, 2009 Accepting new patients
Temple Physicians Inc. Past Accepting new patients
Women's Health Network, LLC PastSince Jan 7, 2016 Accepting new patients

Locations

518 Bustleton Pike
Fstrvl Trvose, PA 19053
Phone (215) 354-4444

518 Bustleton Pike
Fl 1
Fstrvl Trvose, PA 19053
Phone (215) 464-4060

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

1904 County Line Rd
Huntingdon Vy, PA 19006
Phone (215) 322-6346

3509 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2433

Organizations & group practices 5

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 11

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1821052143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 BUSTLETON PIKE FL 1",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536035",
            "telephone_number": "215-464-6040",
            "fax_number": "215-464-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGIDENKO",
        "first_name": "LEONID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD056532L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018355880001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Feasterville Trevose, PA

Sources for this page

Verify at the official NPI Registry.