Organization Active NPI

Fort Bend OB GYN

  • Specialist
  • Sugar Land, TX
National Provider Identifier
1306053145
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K7791 Issued in TX
Legal business name
FORT BEND OB GYN
Practice address
3525 Town Center Blvd S
Sugar Land, TX 77479-1285
Phone
(281) 499-4999
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Duc Bui Le, M.DNPI 1952313462
Title
Partner
Phone
(281) 499-4999

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X K7791 TX Primary

Addresses

Primary practice location

3525 Town Center Blvd S
Sugar Land, TX 77479-1285

Mailing address

3525 Town Center Blvd S
Sugar Land, TX 77479-1285
Phone (281) 499-4999

Other names 1

  • Sugar Land OBGYN Assoicates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050805000581 TX Part B Supplier - Clinic/Group Practice 9739118134 Receives reassigned benefits from 3 practitioners
Practice locations: Sugar Land, 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
45D0964299Fort Bend OB/GYN LLP3525 Town Center Blvd So, Sugar Land, TX 77479Certificate of waiverAug 22, 2027

National Provider Directory

National Provider Directory

Locations

3807 FM 1092 Rd
Ste 104
Missouri City, TX 77459
Phone (281) 340-1234

3525 Town Center Blvd S
Sugar Land, TX 77479
Phone (281) 265-1414

Practitioners & affiliated clinicians

Practitioners 4

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306053145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 TOWN CENTER BLVD S",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791285",
            "telephone_number": "281-499-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 TOWN CENTER BLVD S",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791285",
            "telephone_number": "281-499-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT BEND OB GYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "DUC",
        "authorized_official_middle_name": "BUI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "281-499-4999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K7791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sugar Land OBGYN Assoicates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.