Active NPI
Denny Van Le, DPM
- Foot & Ankle Surgery Podiatrist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- DP178568
- Practice address
- 12400 NW Cornell Rd Ste 201
Portland, OR 97229-5689 - Phone
- (503) 643-1737
- Fax
- (503) 643-4926
- NPI assigned
- Apr 5, 2013
- Last updated
- Mar 7, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | DP178568 | OR | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | DP178568 | OR | Primary |
Addresses
Primary practice location
12400 NW Cornell Rd Ste 201
Portland, OR 97229-5689
Mailing address
12400 NW Cornell Rd Ste 201
Portland, OR 97229-5689
Phone (503) 643-1737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12400 NW Cornell Rd
Suite 201
Portland, OR 97229-5689
Phone (503) 643-1737
9115 SW Oleson Rd
Suite 205
Portland, OR 97223-6877
Phone (503) 245-2420
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.11 of 100
- Quality
- 84.29
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 26 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 364 |
| Removal or shaving of skin growth | 181 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DP178568 | OR | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Extremity Specialists LLC | Podiatrist | Current | Accepting new patients |
| Northwest Extremity Specialists LLC | Current | Accepting new patients |
Locations
12400 NW Cornell Rd
Ste 201
Portland, OR 97229
Phone (503) 643-1737
5050 NE Hoyt St
Ste 411
Portland, OR 97213
Phone (503) 239-4324
6542 SE Lake Rd
Ste 102
Portland, OR 97222
Phone (503) 659-6686
9115 SW Oleson Rd
Ste 205
Tigard, OR 97223
Phone (503) 245-5710
9900 SW Hall Blvd
Ste 100
Tigard, OR 97223
Interoperability endpoints
- denny.le@pfac.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Podiatrist
- Portland, OR
- NPI 1295126241
-
dba NES Wilsonville
- Podiatric Clinic/Center
- Wilsonville, OR
- NPI 1346973039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1285977470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12400 NW CORNELL RD STE 201",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972295689",
"telephone_number": "503-643-1737",
"fax_number": "503-643-4926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12400 NW CORNELL RD STE 201",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972295689",
"telephone_number": "503-643-1737",
"fax_number": "503-643-4926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "DENNY",
"middle_name": "VAN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-05",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OR",
"license": "DP178568",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OR",
"license": "DP178568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
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.
- 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.