Individual provider Active NPI

Roger Phu Le, M.D.

  • Urology Physician
  • Baytown, TX
National Provider Identifier
1104821586
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
K8280 Issued in TX
Practice address
4201 Garth Rd Ste 209
Baytown, TX 77521-3155
Phone
(281) 427-2000
Fax
(281) 427-2008
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X K8280 TX Primary

Addresses

Primary practice location

4201 Garth Rd Ste 209
Baytown, TX 77521-3155

Mailing address

4201 Garth Rd Ste 209
Baytown, TX 77521-3155
Phone (281) 427-2000

Other identifiers 1

IdentifierTypeStateIssuer
045829102MedicaidTX

Other names 1

  • Minh Phu Le Former name

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
I20050427000265 TX Practitioner - Urology 3375582729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Texas Medical Branch at Galveston, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4201 Garth Rd
Suite 209
Baytown, TX 77521-3155
Phone (281) 427-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baytown Urology PLLC Urology CurrentSince Nov 24, 2025 Accepting new patients
Tijerina Urology Clinic, PA Urology Past Accepting new patients

Locations

4201 Garth Rd
Ste 209
Baytown, TX 77521
Phone (281) 427-2000

Interoperability endpoints

  • Direct secure messaging: rle27344@directhoustonmethodist.org

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 1

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1104821586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 GARTH RD STE 209",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213155",
            "telephone_number": "281-427-2000",
            "fax_number": "281-427-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 GARTH RD STE 209",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213155",
            "telephone_number": "281-427-2000",
            "fax_number": "281-427-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "ROGER",
        "middle_name": "PHU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "K8280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045829102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINH",
            "last_name": "LE",
            "middle_name": "PHU",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.