Individual provider Active NPI

Trac T Le, MD

  • Nephrology Physician
  • Marrero, LA
National Provider Identifier
1346222452
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
022297 Issued in LA
Practice address
1111 Medical Center Blvd
Suite N511
Marrero, LA 70072
Phone
(504) 349-6301
Fax
(504) 349-6308
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 022297 LA Primary

Addresses

Primary practice location

1111 Medical Center Blvd
Suite N511
Marrero, LA 70072

Mailing address

4409 Utica St
Suite 100
Metairie, LA 70006
Phone (504) 457-3687

Other identifiers 1

IdentifierTypeStateIssuer
1480401MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20070416000516 LA Practitioner - Nephrology 3678578473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Louisville School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Orleans Nephrology Associates LLCGroup PAC ID 8224070719, 12 clinicians

Practice addresses (Care Compare)

1 Westbank Expy
Westwego, LA 70094-4156
Phone (504) 347-6942

1101 Medical Ctr Blvd
Marrero, LA 70072-3147
Phone (504) 349-1202

141 S Jamie Blvd
Avondale, LA 70094-2861
Phone (504) 342-7773

148 Hector Ave
Gretna, LA 70056-2531
Phone (504) 376-1603

3631 Behrman PL
New Orleans, LA 70114-0906
Phone (504) 366-0808

4409 Utica St
Suite 100
Metairie, LA 70006-6579
Phone (504) 457-3687

7325 Westbank Expy
Marrero, LA 70072-2448
Phone (504) 341-6699

Hospital & facility affiliations

  • DaVita Westbank Chronic Renal Center Dialysis facility, New Orleans, LA, CCN 192507
  • DaVita Oakwood Dialysis Center Dialysis facility, Gretna, LA, CCN 192683
  • West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022297LAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westbank Nephrology, Apmc Nephrology Past Accepting new patients
Michael G Russo MD a Professionsl LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tle24783@direct.acumenmd.com

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.

Hospital & facility affiliations 3

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346222452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 UTICA ST",
            "address_2": "SUITE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70006",
            "telephone_number": "504-457-3687",
            "fax_number": "504-620-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE N511",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "70072",
            "telephone_number": "504-349-6301",
            "fax_number": "504-349-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "TRAC",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "022297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1480401",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.