Individual provider Active NPI

Kim M Le, CRNA

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1487205456
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
RN173974 Issued in AZ
Practice address
5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Phone
(480) 515-6296
NPI assigned
Sep 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X RN173974 AZ Primary

Addresses

Primary practice location

5777 E Mayo Blvd
Phoenix, AZ 85054-4502

Mailing address

3652 E Maffeo Rd
Phoenix, AZ 85050-8339
Phone (480) 772-5988

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200203000230 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800222357 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scottsdale Surgical Partners, LLCGroup PAC ID 4486689114, 27 clinicians

Practice addresses (Care Compare)

8901 E Raintree Dr
Suite 100
Scottsdale, AZ 85260-7026
Phone (480) 676-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Partners & Management LLC Anesthesiology CurrentSince Jan 10, 2022 Accepting new patients
Scottsdale Surgical Partners LLC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
Legacy Anesthesia LLC Anesthesiology CurrentSince Nov 1, 2022 Accepting new patients
Dec Anesthesia LLC Anesthesiology CurrentSince Dec 1, 2021 Accepting new patients
Summit Anesthesia Services PLLC Anesthesiology CurrentSince Sep 24, 2020 Accepting new patients
Pinnacle Anesthesia Partners Arizona Anesthesiology CurrentSince Sep 3, 2025 Accepting new patients
Biltmore Surgical Partners, LLC Anesthesiology CurrentSince Oct 18, 2024 Accepting new patients
Mesa Az Endoscopy ASC LLC PastSince Oct 17, 2021 Accepting new patients
Pinnacle Anesthesia Personal Injury Anesthesiology PastSince Sep 3, 2025 Accepting new patients

Locations

1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300

603 W Baseline Rd
Ste 101
Mesa, AZ 85210
Phone (480) 969-0405

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

1902 W Union Hills Dr
Unit 41340
Phoenix, AZ 85080

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

16620 N 40th St
Ste D1
Phoenix, AZ 85032
Phone (480) 565-7246

19646 N 27th Ave
Ste 101
Phoenix, AZ 85027
Phone (480) 633-3097

3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1848 E Thomas Rd
Ste 100
Phoenix, AZ 85016
Phone (602) 688-2342

750 N 40th St
Phoenix, AZ 85008
Phone (602) 797-7700

6501 N 19th Ave
Phoenix, AZ 85015
Phone (602) 314-4280

3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185

8901 E Raintree Dr
Ste 100
Scottsdale, AZ 85260
Phone (480) 676-2100

1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1569024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1487205456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3652 E MAFFEO RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850508339",
            "telephone_number": "480-772-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5777 E MAYO BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850544502",
            "telephone_number": "480-515-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "KIM",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-21",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "RN173974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.