NPIMap

Individual provider Active NPI

Thanh Le

  • Family Medicine Physician
  • Alma, AR
National Provider Identifier
1144664384
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-9104 Issued in AR
Practice address
937 Highway 64 E
Alma, AR 72921-7382
Phone
(479) 632-3855
NPI assigned
Apr 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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 E-9104 AR Primary

Addresses

Primary practice location

937 Highway 64 E
Alma, AR 72921-7382

Mailing address

PO Box 11449
Belfast, ME 04915-4005
Phone (479) 709-1924

Other identifiers 1

IdentifierTypeStateIssuer
200655530AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160920000828 AR Practitioner - Family Practice 6406169051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Medical Clinic Arkansas LLCGroup PAC ID 5890077093, 143 clinicians

Practice addresses (Care Compare)

16723 Hwy 62
Garfield, AR 72732-7007
Phone (870) 219-7706

871 W Main St
Booneville, AR 72927-3420
Phone (870) 219-7706

Hospital & facility affiliations

  • Circle of Life Hospice Hospice, Springdale, AR, CCN 041529
  • Mercy Hospice Hospice, Fort Smith, AR, CCN 041504
  • Elite Hospice Hospice, Springdale, AR, CCN 041538
  • Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062
  • Ashton Place Health and Rehab, LLC Nursing home, Barling, AR, CCN 045419
  • Brooken Hill Health And Rehab, Llc Nursing home, Fort Smith, AR, CCN 045479
  • Hampton Place Healthcare, LLC Nursing home, Rogers, AR, CCN 045476
  • Jamestown Nursing And Rehab, LLC Nursing home, Rogers, AR, CCN 045435
  • Chapel Ridge Health and Rehab Nursing home, Fort Smith, AR, CCN 045364

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-9104ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Clinic Arkansas LLC Family Medicine CurrentSince Jan 1, 2017 Accepting new patients
Chapel Ridge Nursing Center, LLC PastSince Dec 10, 2024 Accepting new patients

Locations

806 E Main St
Flippin, AR 72634
Phone (870) 219-7706

16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706

106 Highway 62 W
Salem, AR 72576
Phone (870) 895-2762

Interoperability endpoints

  • Direct secure messaging: thanh.le.1@15024.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ashton Place Health and Rehab, LLCBarling, AR, CCN 045419 Skilled nursing facility Adp of the SNF Dec 10, 2024
Bradford House Nursing and Rehab, LLCBentonville, AR, CCN 045373 Skilled nursing facility Adp of the SNF Dec 10, 2024
Chapel Ridge Health and RehabFort Smith, AR, CCN 045364 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 10, 2025
Dec 10, 2024
Hampton Place Healthcare LLCRogers, AR, CCN 045476 Skilled nursing facility Adp of the SNF Dec 10, 2024
Brooken Hill Health and Rehab, LLCFort Smith, AR, CCN 045479 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2024
Aug 1, 2024

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 9

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": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1144664384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11449",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154005",
            "telephone_number": "479-709-1924",
            "fax_number": "479-709-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 HIGHWAY 64 E",
            "city": "ALMA",
            "state": "AR",
            "postal_code": "729217382",
            "telephone_number": "479-632-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "THANH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-18",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-9104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200655530A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, AR

Sources for this page

Verify at the official NPI Registry.