Individual provider Active NPI

Dien Viet Le, M.D.

  • Internal Medicine Physician
  • Russell, PA
National Provider Identifier
1386095131
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD478943 Issued in PA
Practice address
10 Timberview LN Ste 2
Russell, PA 16345-4150
Phone
(814) 837-8585
NPI assigned
Jun 23, 2016
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23342 NH
Internal Medicine Physician 207R00000X MD18798 RI
Internal Medicine Physician 207R00000X MD478943 PA Primary

Addresses

Primary practice location

10 Timberview LN Ste 2
Russell, PA 16345-4150

Mailing address

10 Timberview LN Ste 2
Russell, PA 16345-4150
Phone (814) 757-6505

Other practice location 1

1585 Market St
Warren, PA 16365-1225
Phone (814) 757-6505

Other identifiers 2

IdentifierTypeStateIssuer
1041053260003MedicaidPA
1043211380001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20221109000914 PA Practitioner - Internal Medicine 6305124884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Massachusetts Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1585 Market St
Warren, PA 16365-1225
Phone (814) 757-6505

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23342NHMDInternal Medicine Physician
MD478943PAMDInternal Medicine Physician
MD18798RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arnumentarium Medical Practice Inc Internal Medicine CurrentSince May 1, 2024 Accepting new patients

Locations

10 Timberview Ln
#2
Russell, PA 16345
Phone (617) 710-9786

1585 Market St
Warren, PA 16365
Phone (814) 757-6505

Interoperability endpoints

  • Direct secure messaging: dienlemd@amp.medentdirect.com
  • Direct secure messaging: ledv@kch.securechart.com

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1386095131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 TIMBERVIEW LN STE 2",
            "city": "RUSSELL",
            "state": "PA",
            "postal_code": "163454150",
            "telephone_number": "814-757-6505",
            "fax_number": "814-757-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TIMBERVIEW LN STE 2",
            "city": "RUSSELL",
            "state": "PA",
            "postal_code": "163454150",
            "telephone_number": "814-837-8585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1585 Market St",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "PA",
            "postal_code": "163651225",
            "country_code": "US",
            "telephone_number": "814-757-6505",
            "fax_number": "814-757-6505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "DIEN",
        "middle_name": "VIET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "23342",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD18798",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD478943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041053260003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043211380001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Russell, PA

Sources for this page

Verify at the official NPI Registry.