Individual provider Active NPI

Tru Van Le, M.D.

  • Pediatrics Physician
  • Falls Church, VA
National Provider Identifier
1023128014
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101053088 Issued in VA
Practice address
6404 Seven Corners PL Ste F
Falls Church, VA 22044-2033
Phone
(703) 241-5695
Fax
(703) 237-9896
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101053088 VA Primary

Addresses

Primary practice location

6404 Seven Corners PL Ste F
Falls Church, VA 22044-2033

Mailing address

6404 Seven Corners PL Ste F
Falls Church, VA 22044-2033
Phone (703) 241-5695

Other identifiers 6

IdentifierTypeStateIssuer
281005OtherVAAMERIGROUP ID NUMBER
201878OtherVAHEALTHKEEPER PLUS
201878OtherVATRIGON BCBS ID NUMBER
869239OtherVAOPTIMUM CHOICE/MDIPA
5851116OtherVAAETNA ID NUMBER
2154001OtherVACAREFIRST BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101053088VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tru Van Le M.D., P.C. Pediatrics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1023128014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 SEVEN CORNERS PL STE F",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442033",
            "telephone_number": "703-241-5695",
            "fax_number": "703-237-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 SEVEN CORNERS PL STE F",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442033",
            "telephone_number": "703-241-5695",
            "fax_number": "703-237-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "TRU",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101053088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP ID NUMBER",
            "identifier": "281005",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHKEEPER PLUS",
            "identifier": "201878",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGON BCBS ID NUMBER",
            "identifier": "201878",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE/MDIPA",
            "identifier": "869239",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID NUMBER",
            "identifier": "5851116",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "2154001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.