Individual provider Active NPI

Dau Thanh Le, M.D.

  • Internal Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1346215597
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101042561 Issued in VA
Practice address
5444 - Virginia Beach Blvd.
Suite 104
Virginia Beach, VA 23462
Phone
(757) 671-8746
Fax
(757) 363-8626
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101042561 VA Primary

Addresses

Primary practice location

5444 - Virginia Beach Blvd.
Suite 104
Virginia Beach, VA 23462

Mailing address

5444 - Virginia Beach Blvd.
Suite 104
Virginia Beach, VA 23462
Phone (757) 671-8746

Other identifiers 1

IdentifierTypeStateIssuer
010084156MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040721001246 VA Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Geriatric Medicine 3173503034 Practice locations: Virginia Beach, VA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice, Geriatric Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5444 Virginia Beach Blvd
Suite 104
VA Beach, VA 23462-1758

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dau T. Le, M.D., LLC. Internal Medicine CurrentSince Jan 21, 2022 Accepting new patients
Sentara Life Care Corporation Past Accepting new patients

Locations

5444 Virginia Beach Blvd
Ste 104
Virginia Beach, VA 23462
Phone (757) 671-8746

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 and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1346215597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5444 - VIRGINIA BEACH BLVD.",
            "address_2": "SUITE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23462",
            "telephone_number": "757-671-8746",
            "fax_number": "757-363-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5444 - VIRGINIA BEACH BLVD.",
            "address_2": "SUITE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23462",
            "telephone_number": "757-671-8746",
            "fax_number": "757-363-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "DAU",
        "middle_name": "THANH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101042561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010084156",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.