Individual provider Active NPI

Denny Van Le, DPM

  • Foot & Ankle Surgery Podiatrist
  • Portland, OR
National Provider Identifier
1285977470
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DP178568 Issued in OR
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160824000558 OR Practitioner - Podiatry 6608173802 Reassigns benefits to 1 organization

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 100Reported as apm
Quality
84.29
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue26
Removal of skin lesions1-10
Removal of nail tissue364
Removal or shaving of skin growth181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP178568ORMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Extremity Specialists LLC Podiatrist CurrentSince Aug 1, 2016 Accepting new patients
Northwest Extremity Specialists LLC CurrentSince Aug 1, 2016 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.