Individual provider Active NPI

Angie Le, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1184659187
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K4321 Issued in TX
Practice address
10405 E Northwest Hwy Ste 100
Dallas, TX 75238-4610
Phone
(214) 321-6485
Fax
(214) 324-3187
NPI assigned
Jul 11, 2006
Last updated
Oct 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K4321 TX Primary

Addresses

Primary practice location

10405 E Northwest Hwy Ste 100
Dallas, TX 75238-4610

Mailing address

10405 E Northwest Hwy Ste 100
Dallas, TX 75238-4610
Phone (214) 321-6485

Other practice location 1

10405 E Northwest Hwy
Ste 101
Dallas, TX 75238-4619
Phone (469) 804-3506

Other identifiers 2

IdentifierTypeStateIssuer
038397801MedicaidTX
K4321OtherTXMEDICAL LICENSE

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
I20110324000358 TX Practitioner - Internal Medicine 5294921193 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1205 Northwest Hwy
Garland, TX 75041-5835
Phone (469) 936-0541

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4321TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Internal Medicine CurrentSince Oct 1, 2017 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Oct 1, 2017 Accepting new patients
White Rock Adult Medicine Assoc PA Internal Medicine Current Accepting new patients
Doctors Interpretive Services Past Accepting new patients

Locations

10405 E Northwest Hwy
Ste 100
Dallas, TX 75238
Phone (214) 321-6485

1130 Beachview St
Ste 100
Dallas, TX 75218
Phone (214) 321-6485

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Organizations & group practices 7

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1184659187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10405 E NORTHWEST HWY STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752384610",
            "telephone_number": "214-321-6485",
            "fax_number": "214-324-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10405 E NORTHWEST HWY STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752384610",
            "telephone_number": "214-321-6485",
            "fax_number": "214-324-3187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10405 E Northwest Hwy",
            "address_2": "STE 101",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752384619",
            "country_code": "US",
            "telephone_number": "469-804-3506",
            "fax_number": "214-324-3187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "ANGIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K4321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038397801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "K4321",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.