Individual provider Active NPI

Tri Le, M.D.

  • Family Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1053671743
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME165672 Issued in FL
Practice address
201 Hilda St Ste 12
Kissimmee, FL 34741-2359
Phone
(407) 933-6626
NPI assigned
May 29, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35123035 OH
Family Medicine Physician 207Q00000X 2020029935 MO
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X ME165672 FL Primary

Addresses

Primary practice location

201 Hilda St Ste 12
Kissimmee, FL 34741-2359

Mailing address

201 Hilda St Ste 12
Kissimmee, FL 34741-2359
Phone (407) 933-6626

Other practice location 1

3525 S National Ave Ste 101
Springfield, MO 65807-7315
Phone (417) 269-9950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240227002372 FL Practitioner - Family Practice 4385881465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

201 Hilda St
Suite 26
Kissimmee, FL 34741-2359
Phone (407) 944-3071

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

Hospital & facility affiliations

  • Concierge Home Care Home health agency, Heathrow, FL, CCN 687134
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
81.52 of 100Reported as group
Quality
61.64
Promoting interoperability
100
Improvement activities
40
Cost
76.77

Merit-based Incentive Payment System (MIPS)

Final score
87.41 of 100Reported as group
Quality
76.32
Promoting interoperability
100
Improvement activities
40
Cost
81.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue119
Removal of skin lesions42
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME165672FLMDFamily Medicine Physician
2020029935MOMDFamily Medicine Physician
35123035OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Family Medicine CurrentSince Apr 22, 2024 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Apr 22, 2024 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

201 Hilda St
Ste 12
Kissimmee, FL 34741
Phone (407) 933-6626

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

Interoperability endpoints

  • Direct secure messaging: tle2204414@adventhealth.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1053671743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HILDA ST STE 12",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412359",
            "telephone_number": "407-933-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HILDA ST STE 12",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412359",
            "telephone_number": "407-933-6626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3525 S National Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658077315",
            "country_code": "US",
            "telephone_number": "417-269-9950",
            "fax_number": "417-269-9959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "TRI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-29",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35123035",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2020029935",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME165672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.