Individual provider Active NPI

Nhi Le, D.O.

  • Dermatology Physician
  • Fort Worth, TX
National Provider Identifier
1043670409
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
R9640 Issued in TX
Practice address
3629 Western Center Blvd Ste 211
Fort Worth, TX 76137-1940
Phone
(817) 766-7422
NPI assigned
Feb 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R9640 TX
Dermatology Physician 207N00000X R9640 TX Primary

Addresses

Primary practice location

3629 Western Center Blvd Ste 211
Fort Worth, TX 76137-1940

Mailing address

3629 Western Center Blvd Ste 211
Fort Worth, TX 76137-1940
Phone (817) 766-7422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190816001218 TX Practitioner - Family PracticePractitioner - Dermatology 7810296522 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Dermatology
Education
Nova Southeastern Univ College of Dental Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prestige Dermatology of MidlothianGroup PAC ID 3577984251, 3 clinicians
Prestige Dermatology of Alliance PLLCGroup PAC ID 4284930959, 4 clinicians
Prestige Dermatology PLLCGroup PAC ID 2365752813, 5 clinicians

Practice addresses (Care Compare)

320 Hawkins Run Rd
Suite 1
Midlothian, TX 76065-6588
Phone (469) 758-4800

3629 Western Ctr Blvd
Suite 211
Fort Worth, TX 76137-1940
Phone (817) 766-7422

621 SW Johnson Ave
Suite C
Burleson, TX 76028-5834
Phone (817) 766-7421

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17
Removal of skin lesions217
Skin biopsy70

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R9640TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Dermatology of Alliance, PLLC Dermatology CurrentSince Jul 25, 2019 Accepting new patients
Prestige Dermatology of Midlothian Dermatology CurrentSince Feb 28, 2020 Accepting new patients
Prestige Dermatology PLLC Dermatology CurrentSince Jul 25, 2019 Accepting new patients
Wellworx Dermatology PLLC Dermatology Past Accepting new patients

Locations

621 SW Johnson Ave
Ste C
Burleson, TX 76028
Phone (817) 718-3571

264 Exchange St
Burleson, TX 76028
Phone (817) 718-3571

3629 Western Center Blvd
Ste 211
Fort Worth, TX 76137
Phone (817) 232-9400

320 Hawkins Run Rd
Ste 1
Midlothian, TX 76065
Phone (469) 758-4800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HECDAD/Endpoint/HECDAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HECDAD

Organizations & group practices 4

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": "1456617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1043670409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 WESTERN CENTER BLVD STE 211",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371940",
            "telephone_number": "817-766-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3629 WESTERN CENTER BLVD STE 211",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371940",
            "telephone_number": "817-766-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "NHI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-28",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R9640",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "R9640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.