Individual provider Active NPI

Elizabeth Le, DPM

  • Podiatrist
  • Denham Springs, LA
National Provider Identifier
1154407369
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PD173R Issued in LA
Practice address
1524 South Range Ave
Denham Springs, LA 70726
Phone
(225) 667-6497
Fax
(225) 791-3899
NPI assigned
Oct 31, 2006
Last updated
Jan 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PD173R LA Primary

Addresses

Primary practice location

1524 South Range Ave
Denham Springs, LA 70726

Mailing address

1524 South Range Ave
Denham Springs, LA 70726
Phone (225) 667-6497

Other identifiers 8

IdentifierTypeStateIssuer
212129OtherLACOVENTRY HEALTHCARE
2700152OtherLAUNITED HEALTHCARE
C2580OtherLABLUE CROSS BLUE SHIELD
6981998-001OtherLACIGNA HEALTHCARE
1685089MedicaidLA
215-4406OtherLAAETNA HMO
231-2940OtherLAAETNA HMO
578-2446OtherLAAETNA PPO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110304000611 LA Practitioner - Podiatry 8628185170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1524 S Range Ave
Denham Springs, LA 70726-5218
Phone (225) 753-4994

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue74
Removal of nail tissue113
Removal or shaving of skin growth567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PD173RLAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Le,DPM,LLC Podiatrist CurrentSince Nov 12, 2010 Accepting new patients
Elizabeth Le,DPM,LLC Podiatrist CurrentSince Nov 12, 2010 Accepting new patients
Elizabeth Le Podiatrist PastSince Feb 15, 1999 Accepting new patients

Locations

13888 Plank Rd
#A
Baker, LA 70714
Phone (225) 775-8899

14635 S Harrells Ferry Rd
Ste 2A
Baton Rouge, LA 70816
Phone (225) 753-4994

1524 S Range Ave
Denham Springs, LA 70726
Phone (225) 266-4275

2409 S Burnside Ave
#B
Gonzales, LA 70737
Phone (225) 647-6654

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1154407369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 SOUTH RANGE AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "70726",
            "telephone_number": "225-667-6497",
            "fax_number": "225-791-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 SOUTH RANGE AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "70726",
            "telephone_number": "225-667-6497",
            "fax_number": "225-791-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "ELIZABETH",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "PD173R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTHCARE",
            "identifier": "212129",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2700152",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "C2580",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "6981998-001",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1685089",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "215-4406",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "231-2940",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "578-2446",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

Verify at the official NPI Registry.