NPIMap

Individual provider Active NPI

Phuc Le, PA-C

  • Physician Assistant
  • Colorado SPGS, CO
National Provider Identifier
1174157010
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0006604 Issued in CO
Practice address
5150 Pine Haven Dr
Colorado SPGS, CO 80923-5127
Phone
(719) 459-9985
NPI assigned
Mar 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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 PA.0006604 CO Primary

Addresses

Primary practice location

5150 Pine Haven Dr
Colorado SPGS, CO 80923-5127

Mailing address

5150 Pine Haven Dr
Colorado SPGS, CO 80923-5127
Phone (719) 459-9985

Other practice location 1

2045 N Franklin St
Denver, CO 80205-5437
Phone (303) 338-4545

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20220510000639 CO Practitioner - Physician Assistant 7810374055 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Colorado Brain and Spine Institute, PLLCGroup PAC ID 2769488329, 11 clinicians
Neuro on Call PLLCGroup PAC ID 0345414942, 10 clinicians

Practice addresses (Care Compare)

1411 S Potomac St
Suite 450
Aurora, CO 80012-4544
Phone (303) 783-8844

3501 S Clarkson St
Englewood, CO 80113-3916

3511 S Clarkson St
Englewood, CO 80113-3916
Phone (303) 783-8844

500 E Hampden Ave
Suite 200
Englewood, CO 80113-2885
Phone (303) 783-8855

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.24 of 100Reported as group
Quality
75.39
Promoting interoperability
100
Improvement activities
40
Cost
55.42

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: phuc.le.1@19890.direct.athenahealth.com
  • Direct secure messaging: phuc.le@398008301912068.direct.elationemr.com

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 12

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": "1583020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1174157010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 PINE HAVEN DR",
            "city": "COLORADO SPGS",
            "state": "CO",
            "postal_code": "809235127",
            "telephone_number": "719-459-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 PINE HAVEN DR",
            "city": "COLORADO SPGS",
            "state": "CO",
            "postal_code": "809235127",
            "telephone_number": "719-459-9985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2045 N Franklin St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802055437",
            "country_code": "US",
            "telephone_number": "303-338-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "PHUC",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-01",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2045 N Franklin St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802055437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado SPGS, CO

Sources for this page

Verify at the official NPI Registry.