Individual provider Active NPI

Samuel Geltzer Leather, M.D.

  • Internal Medicine Physician
  • Meadowbrook, PA
National Provider Identifier
1992814685
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD418299 Issued in PA
Practice address
1648 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone
(215) 938-2749
Fax
(215) 938-3829
NPI assigned
Aug 29, 2006
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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 MD418299 PA Primary

Addresses

Primary practice location

1648 Huntingdon Pike
Meadowbrook, PA 19046-8001

Mailing address

1648 Huntingdon Pike
Medical Staff Office First Floor
Meadowbrook, PA 19046-8001
Phone (215) 938-3450

Other identifiers 1

IdentifierTypeStateIssuer
0019084050001MedicaidPA

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
I20090406000150 PA Practitioner - Internal Medicine 3274696703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HR Physician ServicesGroup PAC ID 0042109902, 188 clinicians

Practice addresses (Care Compare)

1648 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone (215) 947-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD418299PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HR Physician Services CurrentSince Jul 28, 2012 Accepting new patients
HR Physician Services Internal Medicine CurrentSince Jul 28, 2012 Accepting new patients
HR Physician Services Internal Medicine Current Accepting new patients
HR Physician Services Past Accepting new patients
Holy Redeemer Health System Past Accepting new patients

Locations

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

1648 Huntingdon Pike
Fl 1
Meadowbrook, PA 19046
Phone (215) 938-2040

1648 Huntingdon Pike
Ofc First
Meadowbrook, PA 19046
Phone (215) 938-3450

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 2

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1992814685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 HUNTINGDON PIKE",
            "address_2": "MEDICAL STAFF OFFICE FIRST FLOOR",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468001",
            "telephone_number": "215-938-3450",
            "fax_number": "215-938-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 HUNTINGDON PIKE",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468001",
            "telephone_number": "215-938-2749",
            "fax_number": "215-938-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATHER",
        "first_name": "SAMUEL",
        "middle_name": "GELTZER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD418299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019084050001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadowbrook, PA

Sources for this page

Verify at the official NPI Registry.