Individual provider Active NPI

Liet N Le, M.D.

  • Procedural Dermatology Physician
  • Kingwood, TX
National Provider Identifier
1477726214
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
P7300 Issued in TX
Practice address
22659 Highway 59 N
Ste 140
Kingwood, TX 77339-4406
Phone
(281) 973-4159
Fax
(281) 973-2359
NPI assigned
Apr 11, 2008
Last updated
Dec 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X P7300 TX Primary

Addresses

Primary practice location

22659 Highway 59 N
Ste 140
Kingwood, TX 77339-4406

Mailing address

22659 Highway 59 N
Ste 140
Kingwood, TX 77339-4406
Phone (281) 973-4159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150106002316 TX Practitioner - Dermatology 4880863430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tulane University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiant Dermatology and Aesthetics PLLCGroup PAC ID 5799075917, 7 clinicians

Practice addresses (Care Compare)

22659 Hwy 59 N
Suite 140
Kingwood, TX 77339-4406
Phone (281) 973-4159

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision120
Removal of skin lesions2064
Removal of skin cancer24
Removal or shaving of skin growth1-10
Skin biopsy1151

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiant Dermatology and Aesthetics PLLC CurrentSince Jul 1, 2016 Accepting new patients

Locations

9240 N Sam Houston Pkwy E
Ste 201
Humble, TX 77396
Phone (281) 318-5354

9701 N Sam Houston Pkwy E
Ste 120
Humble, TX 77396
Phone (281) 764-9500

22659 Highway 59 N
Ste 140
Kingwood, TX 77339
Phone (281) 713-5288

2255 E Mossy Oaks Rd
Ste 500
Spring, TX 77389
Phone (832) 232-5658

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.

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1477726214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22659 HIGHWAY 59 N",
            "address_2": "STE 140",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394406",
            "telephone_number": "281-973-4159",
            "fax_number": "281-973-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22659 HIGHWAY 59 N",
            "address_2": "STE 140",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394406",
            "telephone_number": "281-973-4159",
            "fax_number": "281-973-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "LIET",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-11",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": "P7300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.