NPIMap

Individual provider Active NPI

Loc T Le, M.D.

  • Gastroenterology Physician
  • Baltimore, MD
National Provider Identifier
1194710517
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D39528 Issued in MD
Practice address
1838 Greene Tree Rd
Suite 400
Baltimore, MD 21208-6391
Phone
(410) 602-7782
Fax
(410) 602-2438
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X M30908 MD
Gastroenterology Physician 207RG0100X D39528 MD Primary

Addresses

Primary practice location

1838 Greene Tree Rd
Suite 400
Baltimore, MD 21208-6391

Mailing address

1838 Greene Tree Rd
Suite 400
Baltimore, MD 21208-6391
Phone (410) 602-7782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20110404000224 MD Practitioner - GastroenterologyPractitioner - Internal Medicine 6103856927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Rochester School of Medicine and Dentistry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifebridge Community Gastroenterology LLCGroup PAC ID 7618108119, 54 clinicians

Practice addresses (Care Compare)

1838 Greene Tree Rd
Suite 180
Pikesville, MD 21208-7100
Phone (410) 602-7782

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy238
Upper gastrointestinal (GI) endoscopy for acid reflux229

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M30908MDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pikesville MD Endoscopy ASC LLC Current Accepting new patients
Dr Wendy Kloesz, M.D., P.a Current Accepting new patients
Lifebridge Community Gastroenterology, LLC Gastroenterology CurrentSince Mar 1, 2014 Accepting new patients
Endocentre at Quarterfield Station Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7704 Quarterfield Rd
Ste A
Glen Burnie, MD 21061
Phone (410) 863-4899

802 Landmark Dr
Ste 129
Glen Burnie, MD 21061
Phone (410) 863-4899

1838 Greene Tree Rd
Ste 400
Pikesville, MD 21208
Phone (410) 602-9343

1838 Greene Tree Rd
Ste 180
Pikesville, MD 21208
Phone (410) 358-1800

Interoperability endpoints

  • Direct secure messaging: lle22524@direct.umm.edu

Organizations & group practices 5

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 4

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1194710517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "SUITE 400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212086391",
            "telephone_number": "410-602-7782",
            "fax_number": "410-602-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "SUITE 400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212086391",
            "telephone_number": "410-602-7782",
            "fax_number": "410-602-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "LOC",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "M30908",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D39528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.