Individual provider Active NPI

Kimthuy Tuan Le, M.D.

  • Emergency Medicine Physician
  • Forest Grove, OR
National Provider Identifier
1194909077
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD151579 Issued in OR
Practice address
1809 Maple St
Forest Grove, OR 97116
Phone
(503) 357-2172
NPI assigned
Dec 27, 2007
Last updated
Aug 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MT191180 PA
Emergency Medicine Physician 207P00000X MD151579 OR Primary

Addresses

Primary practice location

1809 Maple St
Forest Grove, OR 97116

Mailing address

13010 SW Katherine St
Tigard, OR 97223
Phone (502) 445-5586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20160210002023 WA Practitioner - Emergency Medicine 8325234099 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Louisville School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

751 NE Blakely Dr
Issaquah, WA 98029-6201
Phone (425) 394-0610

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT191180PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Feb 24, 2020 Accepting new patients
Eastside Emergency Physicians, PLLC Emergency Medicine CurrentSince Mar 1, 2019 Accepting new patients
Eastside Emergency Physicians, PLLC Emergency Medicine CurrentSince Mar 1, 2019 Accepting new patients
Swedish Health Services Current Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Swedish Health Services CurrentSince Feb 24, 2020 Accepting new patients
Eastside Emergency Physicians PLLC Emergency Medicine Current Accepting new patients
Emergency Physician Associates, PA PastSince Jun 28, 1999 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1809 Maple St
Forest Grove, OR 97116
Phone (503) 357-2173

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

914 S Scheuber Rd
Centralia, WA 98531
Phone (360) 330-8516

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000

18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 455-3600

18100 NE Union Hill Rd
Ste 200
Redmond, WA 98052
Phone (206) 320-5190

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1194909077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13010 SW KATHERINE ST",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "97223",
            "telephone_number": "502-445-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 MAPLE ST",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "97116",
            "telephone_number": "503-357-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "KIMTHUY",
        "middle_name": "TUAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MT191180",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD151579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Grove, OR

Sources for this page

Verify at the official NPI Registry.