Individual provider Active NPI

Thuyan Le

  • Physician Assistant
  • Arvada, CO
National Provider Identifier
1053754036
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5730 Ward Rd Ste 102
Arvada, CO 80002-1300
Phone
(303) 422-6331
Fax
(303) 422-6379
NPI assigned
Apr 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

5730 Ward Rd Ste 102
Arvada, CO 80002-1300

Mailing address

7625 W 92ND Ave
Westminster, CO 80021-4567
Phone (303) 427-4075

Other practice location 1

3160 Xanadu St
Aurora, CO 80011-2031
Phone (720) 288-4004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141216000400 CO Practitioner - Physician Assistant 8224351630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rocky Mountain Primary Care , PCGroup PAC ID 3779471677, 38 clinicians

Practice addresses (Care Compare)

5730 Ward Rd
Suite 102
Arvada, CO 80002-1300
Phone (303) 422-6331

7625 W 92ND Ave
Westminster, CO 80021-4567
Phone (303) 650-3427

Hospital & facility affiliations

  • Intermountain Health Lutheran Hospital Hospital, Wheat Ridge, CO, CCN 060009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Physicians - RMPC LLC CurrentSince Jan 1, 2017 Accepting new patients

Locations

5730 Ward Rd
Ste 102
Arvada, CO 80002
Phone (303) 422-6331

7625 W 92nd Ave
Westminster, CO 80021
Phone (303) 252-7790

Interoperability endpoints

  • Direct secure messaging: thuyan.le.1@15135.direct.athenahealth.com

Organizations & group practices 2

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 5

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": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1053754036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 W 92ND AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800214567",
            "telephone_number": "303-427-4075",
            "fax_number": "303-428-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 WARD RD STE 102",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021300",
            "telephone_number": "303-422-6331",
            "fax_number": "303-422-6379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3160 Xanadu St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800112031",
            "country_code": "US",
            "telephone_number": "720-288-4004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "THUYAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.