Active NPI
Tao T Le, M.D.
- Allergy Physician
- Elizabethtown, KY
National Provider Identifier
1285615435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 39835
- Practice address
- 914 N Dixie Ave
Suite 100
Elizabethtown, KY 42701-2520 - Phone
- (270) 765-6149
- Fax
- (270) 737-5235
- NPI assigned
- Nov 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 39835 | KY | Primary |
Addresses
Primary practice location
914 N Dixie Ave
Suite 100
Elizabethtown, KY 42701-2520
Mailing address
914 N Dixie Ave
Suite 100
Elizabethtown, KY 42701-2520
Phone (270) 765-6149
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000388373 | Other | KY | ANTHEM BCBS |
| 2649647000 | Other | KY | PASSPORT ADVANTAGE |
| 64113772 | Medicaid | KY | |
| 50009272 | Other | KY | PASSPORT HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39835 | KY | MD | Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spero Health of Kentucky, LLC | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
914 N Dixie Ave
Ste 100
Elizabethtown, KY 42701
Phone (270) 266-2391
231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1285615435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 N DIXIE AVE",
"address_2": "SUITE 100",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012520",
"telephone_number": "270-765-6149",
"fax_number": "270-737-5235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 N DIXIE AVE",
"address_2": "SUITE 100",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012520",
"telephone_number": "270-765-6149",
"fax_number": "270-737-5235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "TAO",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "KY",
"license": "39835",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000388373",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "2649647000",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64113772",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT HEALTH PLAN",
"identifier": "50009272",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.