Organization Active NPI

Quan H Le MD PA

Doing business as Optimus Medical Clinic

  • Primary Care Clinic/Center
  • Houston, TX
National Provider Identifier
1376725986
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
K6478 Issued in TX
Legal business name
QUAN H LE MD PA
Doing business as
Optimus Medical Clinic
Practice address
8800 Long Point Rd
Ste D
Houston, TX 77055-3025
Phone
(713) 468-8889
Fax
(713) 468-1108
NPI assigned
Dec 5, 2007
Last updated
Jul 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Dr. Quan Huong Le, M.D.NPI 1922016997
Title
Medical Director
Phone
(713) 468-8889

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
Primary Care Clinic/Center 261QP2300X K6478 TX Primary

Addresses

Primary practice location

8800 Long Point Rd
Ste D
Houston, TX 77055-3025

Mailing address

8800 Long Point Rd
Ste D
Houston, TX 77055-3025
Phone (713) 468-8889

Other identifiers 1

IdentifierTypeStateIssuer
00337MOtherTXMEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)

Other names 1

  • Optimus Medical Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080612000020 TX Part B Supplier - Clinic/Group Practice 2567532245 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, 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
45D1083967Quan H Le, MD PA8800 Long Point Rd, Ste D, Houston, TX 77055Certificate of waiverMay 12, 2028

National Provider Directory

National Provider Directory

Locations

8800 Long Point Rd
Ste D
Houston, TX 77055
Phone (713) 468-8889

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1376725986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 LONG POINT RD",
            "address_2": "STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553025",
            "telephone_number": "713-468-8889",
            "fax_number": "713-468-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 LONG POINT RD",
            "address_2": "STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553025",
            "telephone_number": "713-468-8889",
            "fax_number": "713-468-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAN H LE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "QUAN",
        "authorized_official_middle_name": "HUONG",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "713-468-8889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "K6478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)",
            "identifier": "00337M",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimus Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.