DR. LEO L WANG (MD, PHD) – Dermatology Physician, NPI 1548898372

DR. LEO L WANG (MD, PHD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in DERMATOLOGY. They hold the professional credentials MD, PHD. They hold a License No. MD480709 (PA). The NPI Number for DR. LEO L WANG (MD, PHD) is 1548898372

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. LEO L WANG (MD, PHD)
NPI
1548898372
Phone
(215) 662-7883
Address
3600 SPRUCE ST
Enumeration Date
28 March 2020
Last Update Date
6 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2156622737
Graduation Year
2020 (6 years ago)
PAC ID
5092257311
Group Practice PAC ID
6204730955
Professional Enrollment ID
I20240603000209
Address ID
PA191045132PH3400XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

808 DERMATOLOGY in PA

Provider Addresses for DR. LEO L WANG (MD, PHD)

  • 3600 SPRUCE ST

    PHILADELPHIA, PA 191044211

    Phone: (215) 662-7883

    Type: Mailing

  • 3600 Spruce St

    Philadelphia, PA 191044211

    Phone: (215) 662-7883

    Type: Location

  • 1122 Street Rd Ste 204

    Southampton, PA 189664218

    Phone: (215) 999-7546

    Type: Location

  • 800 SPRUCE ST

    PHILADELPHIA, PA 191076192

    Phone: (215) 829-5410

    Type: Mailing

  • 3400 CIVIC CENTER BLVD

    1-330S PERELMAN CENTER

    PHILADELPHIA, PA 191045127

    Phone: (215) 662-2737

    Fax: (215) 615-3424

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $1,273.

Total Amount is formed as General ($1,273) + Research ($0) + Ownership ($0) = $1,273.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($477).

Total Amount

$1,273

General + Research + Ownership

Payments

30

Total payment records

General Amount

$1,273

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2024-06-03

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
I20240603000209IDermatologyPATBD

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 19104)

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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: 6204730955View full group profile
NameSpecialtyState
-PA
Pulmonary DiseasePA
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseasePA
Nurse PractitionerPA
-PA
-PA
Emergency MedicinePA
Nurse PractitionerPA
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

Can I verify DR. LEO L WANG (MD, PHD) with an NPI only?
You can start verification with NPI 1548898372 for DR. LEO L WANG (MD, PHD), then check state licensing separately.
Does the file indicate DR. LEO L WANG (MD, PHD) is practicing under active NPI?
Directory data currently reports DR. LEO L WANG (MD, PHD) as active.
What is DR. LEO L WANG (MD, PHD)'s specialty?
The listing groups DR. LEO L WANG (MD, PHD) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Does DR. LEO L WANG (MD, PHD) list a practice location?
Patients near Philadelphia, Pennsylvania may find DR. LEO L WANG (MD, PHD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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