LEENA VADAKETH (MD) – Internal Medicine Physician, NPI 1396743787

LEENA VADAKETH (MD) is a healthcare provider. based in Yardley, Pennsylvania. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 35076495 (OH). The NPI Number for LEENA VADAKETH (MD) is 1396743787

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
LEENA VADAKETH (MD)
NPI
1396743787
Phone
(215) 685-3808
Address
1727 JOCKEYS WAY
Enumeration Date
11 July 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2156857630
Graduation Year
1988 (38 years ago)
PAC ID
1052391158
Group Practice PAC ID
6305758723
Professional Enrollment ID
I20051104000718
Address ID
PA191041361PH4400XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,967 INTERNAL MEDICINE in PA

Provider Addresses for LEENA VADAKETH (MD)

  • 1727 JOCKEYS WAY

    YARDLEY, PA 190673972

    Phone: (215) 685-3808

    Type: Mailing

  • 321 W GIRARD AVE

    PHILA, PA 191231531

    Phone: (215) 685-3808

    Fax: (215) 685-3848

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-11-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051104000718IInternal MedicinePATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19067)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305758723View full group profile
NameSpecialtyState
Internal MedicinePA
Clinical Social WorkerPA
Family PracticePA
Internal MedicinePA
Family PracticeNY
Nurse PractitionerPA
Nurse PractitionerPA
Internal MedicinePA
O B S T E T R I C S/ G Y N E C O L O G YPA
Nurse PractitionerPA

Reviews

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Frequently asked questions

Where can patients find LEENA VADAKETH (MD)'s NPI?
You can confirm LEENA VADAKETH (MD) with NPI 1396743787; it appears in the national provider directory.
Is LEENA VADAKETH (MD)'s NPI currently valid?
The extract we use shows LEENA VADAKETH (MD) as active.
What field does LEENA VADAKETH (MD) work in?
You can think of LEENA VADAKETH (MD) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is LEENA VADAKETH (MD)'s primary listing?
We display Yardley, Pennsylvania because that is what the record indicates for LEENA VADAKETH (MD).
How can I contact LEENA VADAKETH (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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