Organization Active NPI

Mark D. Le MD PA

  • Internal Medicine Physician
  • Tomball, TX
National Provider Identifier
1245486372
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
207R00000X Issued in TX
Legal business name
MARK D. LE MD PA
Practice address
602 Lawrence Street
Suite B
Tomball, TX 77375-3331
Phone
(281) 255-6333
NPI assigned
Aug 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Authorized official

Name
Dr. Mark Dinh Le, MDNPI 1033153002
Title
Internal Medicine Physician
Phone
(281) 255-6333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 207R00000X TX Primary

Addresses

Primary practice location

602 Lawrence Street
Suite B
Tomball, TX 77375-3331

Mailing address

602 Lawrence Street
Suite B
Tomball, TX 77375-3331
Phone (281) 255-6333

Other identifiers 2

IdentifierTypeStateIssuer
204990001MedicaidTX
204998301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080908000186 TX Part B Supplier - Clinic/Group Practice 6901972405 Receives reassigned benefits from 1 practitioner
Practice locations: Hempstead, TX; Tomball, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1079871Mark D Le, MD, PA602 Lawrence Street, Suite B, Tomball, TX 77375Certificate of waiverFeb 7, 2028

National Provider Directory

National Provider Directory

Locations

846 11th St
Hempstead, TX 77445
Phone (979) 921-0647

455 School St
Ste 40
Tomball, TX 77375
Phone (281) 255-6922

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBHIDD

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1245486372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 LAWRENCE STREET",
            "address_2": "SUITE B",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753331",
            "telephone_number": "281-255-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 LAWRENCE STREET",
            "address_2": "SUITE B",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753331",
            "telephone_number": "281-255-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D. LE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-08",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DINH",
        "authorized_official_title_or_position": "INTERNAL MEDICINE PHYSICIAN",
        "authorized_official_telephone_number": "281-255-6333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "207R00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204990001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204998301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.