Individual provider Active NPI

Leonard E Samuels, MD

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1861435976
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD054848L Issued in PA
Practice address
230 N Broad St
Drexel Emergency Med Huh
Philadelphia, PA 19102-1121
Phone
(215) 762-7963
Fax
(215) 246-5793
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD054848L PA Primary

Addresses

Primary practice location

230 N Broad St
Drexel Emergency Med Huh
Philadelphia, PA 19102-1121

Mailing address

1601 Cherry St
Suite 11511
Philadelphia, PA 19102-1321
Phone (215) 255-7822

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090422000554 PA Practitioner - Emergency Medicine 0941357339 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

1020 Sansom St
Suite 239
Philadelphia, PA 19107-5002
Phone (215) 955-6844

Hospital & facility affiliations

  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD054848LPAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Drexel University Current Accepting new patients
Jefferson Acute Care Physicians, PC CurrentSince Jan 8, 2020 Accepting new patients
Drexel University CurrentSince Jul 1, 2014 Accepting new patients
Jefferson Acute Care Physicians, PC CurrentSince Jan 8, 2020 Accepting new patients
Spuc, LLC CurrentSince Dec 1, 2018 Accepting new patients
Jefferson University Physicians Emergency Medicine CurrentSince Jan 8, 2020 Accepting new patients
Drexel University CurrentSince Jul 1, 2014 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine Past Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine Past Accepting new patients
Drexel University Past Accepting new patients

Locations

230 N Broad St
Philadelphia, PA 19102
Phone (215) 255-3828

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

1020 Sansom St
Ste 239
Philadelphia, PA 19107
Phone (215) 955-6844

2301 S Broad St
Fl 1
Philadelphia, PA 19148
Phone (215) 952-9136

1601 Cherry St
Ste 11511
Philadelphia, PA 19102

1444 W Passyunk Ave
Philadelphia, PA 19145
Phone (215) 389-4444

219 N Broad St
Fl 9
Philadelphia, PA 19107
Phone (215) 762-2688

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

700 Walnut St
Philadelphia, PA 19106
Phone (215) 503-7300

1427 Vine St
Fl 8
Philadelphia, PA 19102
Phone (215) 762-6660

111 S 11th St
Philadelphia, PA 19107
Phone (215) 955-6161

Organizations & group practices 10

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.

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1861435976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CHERRY ST",
            "address_2": "SUITE 11511",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021321",
            "telephone_number": "215-255-7822",
            "fax_number": "215-255-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N BROAD ST",
            "address_2": "DREXEL EMERGENCY MED HUH",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021121",
            "telephone_number": "215-762-7963",
            "fax_number": "215-246-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "LEONARD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD054848L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.