Individual provider Active NPI

Kimberly Le, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1063776284
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51662 Issued in AZ
Practice address
3522 N 3Rd Ave
Phoenix, AZ 85013-3903
Phone
(602) 776-7676
Fax
(602) 776-3002
NPI assigned
Jul 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 51662 AZ Primary

Addresses

Primary practice location

3522 N 3Rd Ave
Phoenix, AZ 85013-3903

Mailing address

3522 N 3Rd Ave
Phoenix, AZ 85013-3903
Phone (520) 850-4854

Other practice location 1

707 N Alvernon Way
Ste 101
Tucson, AZ 85711-1827
Phone (520) 694-1611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160817002497 AZ Practitioner - Family Practice 5597055947 Reassigns benefits to 1 organization
I20200430000289 TX Practitioner - Family Practice 5597055947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arizona College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Circle the CityGroup PAC ID 3971824442, shared by 7 NPIs, 63 clinicians

Practice addresses (Care Compare)

3522 N 3Rd Ave
Phoenix, AZ 85013-3903
Phone (602) 776-9000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51662AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care CurrentSince Mar 30, 2020 Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Aug 14, 2016 Accepting new patients
Circle the City Family Medicine Current Accepting new patients
Circle the City CurrentSince Feb 18, 2019 Accepting new patients
Cigna Health Care of Arizona Inc. CurrentSince Aug 14, 2016 Accepting new patients
Circle the City CurrentSince Feb 18, 2019 Accepting new patients
Gila River Health Care Corporation CurrentSince Mar 30, 2020 Accepting new patients
Circle the City Past Accepting new patients

Locations

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

17487 S Healthcare Dr
Laveen, AZ 85339
Phone (520) 550-6000

48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881

6811 E Superstition Springs Blvd
Mesa, AZ 85209
Phone (480) 641-4000

3333 E Van Buren St
Phoenix, AZ 85008
Phone (602) 690-0598

333 W Indian School Rd
Phoenix, AZ 85013
Phone (602) 248-0368

3522 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 776-7676

2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

8888 E Raintree Dr
Ste 300
Scottsdale, AZ 85260
Phone (602) 328-8400

Interoperability endpoints

  • Direct secure messaging: kimberly.le.1@11818.direct.athenahealth.com

Organizations & group practices 10

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": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1063776284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3522 N 3RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133903",
            "telephone_number": "520-850-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3522 N 3RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133903",
            "telephone_number": "602-776-7676",
            "fax_number": "602-776-3002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 N Alvernon Way",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857111827",
            "country_code": "US",
            "telephone_number": "520-694-1611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "KIMBERLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "51662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.