Individual provider Active NPI

Phuc Le, MD

  • Cardiovascular Disease Physician
  • Scottsdale, AZ
National Provider Identifier
1396953998
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
36659 Issued in AZ
Practice address
8765 E Bell Rd Ste 110
Scottsdale, AZ 85260-1320
Phone
(480) 835-6100
Fax
(480) 461-4243
NPI assigned
May 18, 2007
Last updated
Nov 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 36659 AZ Primary

Addresses

Primary practice location

8765 E Bell Rd Ste 110
Scottsdale, AZ 85260-1320

Mailing address

6402 E Superstition Springs Blvd Ste 224
Mesa, AZ 85206-4394
Phone (480) 835-6100

Other identifiers 1

IdentifierTypeStateIssuer
223841MedicaidAZ

Other names 1

  • Camille Le Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20070910000176 AZ Practitioner - Cardiovascular Disease (Cardiology) 1557454451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Warren Alpert Medical School of Brown University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

6750 E Baywood Ave
Mesa, AZ 85206-1749
Phone (480) 835-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.24 of 100Reported as group
Quality
74.76
Promoting interoperability
100
Improvement activities
40
Cost
76.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36659AZMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Cardiology Consultants, PC Cardiovascular Disease CurrentSince Oct 1, 2019 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince May 21, 2021 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince May 21, 2021 Accepting new patients
Tri-City Cardiology Consultants, PC CurrentSince Oct 1, 2019 Accepting new patients
VHS Acquisition Subsidiary Number 1 Inc Cardiovascular Disease Past Accepting new patients

Locations

1580 N Fiesta Blvd
Ste 100
Gilbert, AZ 85233

1760 E Pecos Rd
Ste 420
Gilbert, AZ 85295

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523

3530 S Val Vista Dr
Ste 103
Gilbert, AZ 85297

6724 S Kings Ranch Rd
Ste 104
Gold Canyon, AZ 85118
Phone (480) 982-3337

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

143 S 63rd St
Ste 100
Mesa, AZ 85206
Phone (480) 416-6140

1520 S Dobson Rd
Ste 209
Mesa, AZ 85202
Phone (602) 835-6100

6343 E Main St
Ste 12
Mesa, AZ 85205

6402 E Superstition Springs Blvd
Ste 114
Mesa, AZ 85206
Phone (928) 985-1810

6402 E Superstition Springs Blvd
Ste 224
Mesa, AZ 85206
Phone (480) 470-3442

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

6750 E Baywood Ave
Ste 301
Mesa, AZ 85206
Phone (480) 834-6100

36543 N Gantzel Rd
Ste 101
San Tan Valley, AZ 85140

8765 E Bell Rd
Ste 110
Scottsdale, AZ 85260

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: p.le.p1@direct.tcc.nextgenshare.com
  • Direct secure messaging: phuccamillele@cvc.allscriptsdirect.net

Organizations & group practices 5

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1396953998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 E SUPERSTITION SPRINGS BLVD STE 224",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064394",
            "telephone_number": "480-835-6100",
            "fax_number": "480-461-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 E BELL RD STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601320",
            "telephone_number": "480-835-6100",
            "fax_number": "480-461-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "PHUC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "36659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "223841",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILLE",
            "last_name": "LE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.