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UNITED MEDICAL CLINIC OF PA, LLC
NPI 1629397294
Internal Medicine in Media, PA

Active since May 21, 2010CLIA 39D0941220 · Waiver
5201 PENNELL RD STE A, MEDIA, PA 19063(877) 346-4543(866) 713-7699 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About United Medical Clinic Of Pa, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNITED MEDICAL CLINIC OF PA, LLC (NPI 1629397294) is a healthcare organization registered as an internal medicine in Media, Pennsylvania and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through March 21, 2027 and lists Leemu Valerie Kerkula, Owner, as its authorized official.

NPPES Registry Identity

NPI1629397294
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameUNITED MEDICAL CLINIC OF PA, LLC
Location Address5201 PENNELL RD STE AMedia, PA 19063-6502
Mailing Address5201 Pennell Rd Ste AMedia, PA 19063-6502 · (877) 346-4543 · Fax (866) 713-7699
Phone(877) 346-4543
Fax(866) 713-7699
Organization SubpartNo
Authorized OfficialLeemu Valerie KerkulaOwner · (877) 346-4543
Enumeration DateMay 21, 2010
Last NPPES UpdateJune 30, 2020
NPPES CertifiedJune 30, 2020
✔ NPI 1629397294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5201 PENNELL RD STE A, Media, PA 19063
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

United Medical Clinic Of Pa, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to United Medical Clinic Of PA, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Leemu Kerkula, M.D.
Internal Medicine
NPI 1639331127
5201 PENNELL RD STE A
Media, PA 19063
(877) 346-4543
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0941220

United Medical Clinic Of PA, LLC · Media, PA
Active · expires Mar 21, 2027
CLIA Number39D0941220
Laboratory TypePhysician Office
Certificate Effective DateMarch 22, 2025
Certificate Expiration DateMarch 21, 2027
Laboratory DirectorDr. Leemu V. Kerkula
Laboratory Phone(877) 346-4543
Laboratory LocationUnited Medical Clinic Of PA, LLC5201 Pennell Road, Ste A, Media, PA 19063
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is United Medical Clinic Of PA, LLC's NPI number?

The NPI number for United Medical Clinic Of PA, LLC is 1629397294. It was assigned to this organization in the NPPES registry on May 21, 2010.

Where is United Medical Clinic Of PA, LLC located?

United Medical Clinic Of PA, LLC is located at 5201 Pennell Rd Ste A, Media, PA 19063. The listed phone number is (877) 346-4543.

What is United Medical Clinic Of PA, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is United Medical Clinic Of PA, LLC enrolled in Medicare?

Yes. United Medical Clinic Of PA, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through United Medical Clinic Of PA, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to United Medical Clinic Of PA, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does United Medical Clinic Of PA, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0941220) is associated with this NPI, valid through March 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for United Medical Clinic Of PA, LLC was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.