Individual provider Active NPI

Mark Bao Le, M.D.

  • Diagnostic Radiology Physician
  • Tampa, FL
National Provider Identifier
1487090213
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A160384 Issued in CA
Practice address
7171 N Dale Mabry Hwy
Tampa, FL 33614-2665
Phone
(317) 614-9804
NPI assigned
May 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD483643 PA
Vascular & Interventional Radiology Physician 2085R0204X A160384 CA
Diagnostic Radiology Physician 2085R0202X A160384 CA Primary

Addresses

Primary practice location

7171 N Dale Mabry Hwy
Tampa, FL 33614-2665

Mailing address

110 W Las Tunas Dr Ste C
San Gabriel, CA 91776-1346
Phone (626) 653-8712

Other practice location 1

1500 Duarte Rd
Duarte, CA 91010-3012
Phone (800) 826-4673

Other practice location 2

110 W Las Tunas Dr Ste C
San Gabriel, CA 91776-1346
Phone (626) 653-8712

Other practice location 3

30 Lawrence Rd Ste 300
Broomall, PA 19008-3301
Phone (484) 446-3611

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@cityofhope.direct-ci.com Direct CITY OF HOPE MEDICAL FOUNDATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL, MI, PA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20190711001775 CA Practitioner - Diagnostic Radiology 8729221338 Reassigns benefits to 21 organizations
I20230112002704 FL Practitioner - Diagnostic Radiology 8729221338
I20240402001846 MI Practitioner - Diagnostic Radiology 8729221338 Reassigns benefits to 5 organizations
I20250827005142 PA Practitioner - Diagnostic Radiology 8729221338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Iowa, RJ & L Carver College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians
Radiology Associates of South Carolina LLCGroup PAC ID 3779932959, 109 clinicians
Illinois Diagnostic and Interventional Radiology PLLCGroup PAC ID 5092215889, 118 clinicians
Great Lakes Radiology ServicesGroup PAC ID 7113456831, 32 clinicians
Eastpointe Radiologists PCGroup PAC ID 7618876327, 112 clinicians
West Virginia Radiology Associates PCGroup PAC ID 9133666431, 91 clinicians
Florida Radiology Associates LLCGroup PAC ID 2769829522, 74 clinicians
Pennsylvania Radiology Associates PCGroup PAC ID 4385170810, 48 clinicians
Christiana Care Pennsylvania IncGroup PAC ID 8921549973, 176 clinicians
Southern California Vascular Institute IncGroup PAC ID 4880904895, 3 clinicians
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians
Silver Summit Medical CorporationGroup PAC ID 6002800588, shared by 2 NPIs, 12 clinicians

Practice addresses (Care Compare)

1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (517) 975-6475

12503 Lincolnshire Dr
Bakersfield, CA 93311-9585
Phone (469) 757-1042

26954 Boulder Crest Dr
Valencia, CA 91381-0626
Phone (469) 757-1042

30 Lawrence Rd
Suite 300
Broomall, PA 19008-3301
Phone 61039413504

3941 San Dimas St
Suite 102
Bakersfield, CA 93301-5711
Phone (323) 433-7744

50 N Perry St
Pontiac, MI 48342-2217
Phone (248) 338-5000

5020 Commerce Dr
Bakersfield, CA 93309-0631
Phone (661) 324-4100

606 34TH St
Bakersfield, CA 93301-2208
Phone (323) 488-0039

729 W Ann Arbor TRL
Suite 2
Plymouth, MI 48170-6225
Phone (800) 475-6112

Hospital & facility affiliations

  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117
  • Riverside Medical Center Hospital, Kankakee, IL, CCN 140186

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal261
Leg revascularization (restoring blood flow)697

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A160384CAMDDiagnostic Radiology Physician

Practice roles (60 of 75)

OrganizationSpecialtyStatusNew patients
Riverwalk Medical Corporation Vascular & Interventional Radiology CurrentSince May 1, 2020 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 18, 2025 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Dec 18, 2025 Accepting new patients
Illinois Diagnostic and Interventional Radiology PLLC Diagnostic Radiology CurrentSince Dec 21, 2025 Accepting new patients
Riverwalk Medical Corporation CurrentSince May 1, 2020 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 18, 2025 Accepting new patients
Silver Summit Medical Corporation CurrentSince May 1, 2020 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 18, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 18, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 18, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 18, 2025 Accepting new patients
Silver Summit Medical Corporation CurrentSince Mar 25, 2024 Accepting new patients
Radpod FL PLLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Dec 18, 2025 Accepting new patients
Ascension Borgess Lee Hospital CurrentSince Nov 1, 2024 Accepting new patients
Silver Summit Medical Corporation CurrentSince Mar 1, 2024 Accepting new patients
Great Lakes Radiology Services Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Focus Medical Imaging Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Colorado Springs Imaging LLC Diagnostic Radiology CurrentSince Dec 18, 2025 Accepting new patients
McLaren Medical Group CurrentSince Mar 18, 2025 Accepting new patients
Megha Nayyar Gupta MD Inc. Diagnostic Radiology CurrentSince Nov 11, 2024 Accepting new patients
Rahul Nayyar MD Inc Diagnostic Radiology CurrentSince Nov 12, 2024 Accepting new patients
KC Tan, M.D. Medical Corporation Diagnostic Radiology CurrentSince Sep 19, 2022 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 18, 2025 Accepting new patients
McLaren Hospital Group Diagnostic Radiology CurrentSince Jun 3, 2025 Accepting new patients
Colorado Springs Imaging LLC Diagnostic Radiology CurrentSince Dec 18, 2025 Accepting new patients
McLaren Medical Group Diagnostic Radiology CurrentSince Mar 18, 2025 Accepting new patients
Oak Hills Medical Corporation CurrentSince May 1, 2020 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Dec 18, 2025 Accepting new patients
Covenant Medical Center, Inc Radiation Oncology CurrentSince Apr 29, 2024 Accepting new patients
Eastpointe Radiologists, P.C. Diagnostic Radiology CurrentSince Dec 11, 2024 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 18, 2025 Accepting new patients
Silver Summit Medical Corporation CurrentSince Mar 1, 2024 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 18, 2025 Accepting new patients
Florida Radiology Associates LLC Diagnostic Radiology CurrentSince Dec 22, 2025 Accepting new patients
Krishna Das MD Inc. Diagnostic Radiology CurrentSince Nov 11, 2024 Accepting new patients
Christiana Care Pennsylvania Inc Diagnostic Radiology Current Accepting new patients
Christiana Care Pennsylvania Inc CurrentSince Aug 14, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 18, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 18, 2025 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Dec 18, 2025 Accepting new patients
Diversity MRI LLC CurrentSince May 20, 2025 Accepting new patients
City of Hope Medical Foundation Radiation Oncology CurrentSince Jan 1, 2025 Accepting new patients
Southern California Vascular Institute Inc Vascular & Interventional Radiology CurrentSince Oct 11, 2022 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 18, 2025 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Dec 18, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 18, 2025 Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Jun 8, 2023 Accepting new patients
Christiana Care Pennsylvania Inc CurrentSince Aug 14, 2025 Accepting new patients
West Virginia Radiology Associates PC Diagnostic Radiology CurrentSince Jun 24, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 18, 2025 Accepting new patients
Pennsylvania Radiology Associates PC Diagnostic Radiology CurrentSince Jan 28, 2025 Accepting new patients
Ascension Borgess Lee Hospital Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Sep 20, 2022 Accepting new patients
Silver Summit Medical Corporation Past Accepting new patients
Eagle Partners, PLLC Radiation Oncology Past Accepting new patients
McLaren Caro Region Past Accepting new patients
McLaren Greater Lansing Past Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients

Locations (25 of 67)

1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621

5000 Commerce Dr
Ste 102
Bakersfield, CA 93309
Phone (661) 553-0000

5000 Commerce Dr
Ste 101
Bakersfield, CA 93309

1408 Commercial Way
Ste A
Bakersfield, CA 93309
Phone (661) 727-0000

5020 Commerce Dr
Ste A
Bakersfield, CA 93309

5020 Commerce Dr
Ste B
Bakersfield, CA 93309
Phone (661) 727-0000

5000 Commerce Dr
Bakersfield, CA 93309
Phone (661) 377-2820

5020 Commerce Dr
Ste C
Bakersfield, CA 93309

110 New Stine Rd
Bakersfield, CA 93309
Phone (661) 832-1666

5020 Commerce Dr
#C
Bakersfield, CA 93309

2700 F St
Ste 101
Bakersfield, CA 93301
Phone (323) 488-0039

1408 Commercial Way
Bakersfield, CA 93309
Phone (661) 327-4455

606 34th St
Bakersfield, CA 93301
Phone (661) 322-8611

3941 San Dimas St
Bakersfield, CA 93301

1408 Commercial Way
Ste B
Bakersfield, CA 93309
Phone (661) 327-4455

1408 Commercial Way
Ste E
Bakersfield, CA 93309

1408 Commercial Way
Ste C
Bakersfield, CA 93309
Phone (661) 327-4455

5020 Commerce Dr
Bakersfield, CA 93309

2701 W Alameda Ave
Ste 602
Burbank, CA 91505
Phone (818) 562-7374

1007 Blair Ave
Calexico, CA 92231

15370 Fairfield Ranch Rd
#B2
Chino Hills, CA 91709
Phone (800) 723-6186

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

Networks

  • Optimum HealthCare HMO Network
  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGBDDD
  • Direct secure messaging: mle1135908@direct.hfhs.org
  • Direct secure messaging: mle230436@cityofhope.direct-ci.com
  • Direct secure messaging: direct@cityofhope.direct-ci.com

Organizations & group practices 77

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.

View all 77

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1487090213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W LAS TUNAS DR STE C",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761346",
            "telephone_number": "626-653-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142665",
            "telephone_number": "317-614-9804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Duarte Rd",
            "address_purpose": "LOCATION",
            "city": "Duarte",
            "state": "CA",
            "postal_code": "910103012",
            "country_code": "US",
            "telephone_number": "800-826-4673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 W Las Tunas Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "San Gabriel",
            "state": "CA",
            "postal_code": "917761346",
            "country_code": "US",
            "telephone_number": "626-653-8712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Lawrence Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Broomall",
            "state": "PA",
            "postal_code": "190083301",
            "country_code": "US",
            "telephone_number": "484-446-3611",
            "fax_number": "484-446-3612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "MARK",
        "middle_name": "BAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD483643",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A160384",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A160384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@cityofhope.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1500 Duarte Rd",
            "city": "Duarte",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910103012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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Sources for this page

Verify at the official NPI Registry.