Individual provider Active NPI

Thanh Thien Le, MD

  • Interventional Pain Medicine Physician
  • Seminole, FL
National Provider Identifier
1497710875
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME78782 Issued in FL
Practice address
10875 Park Blvd Ste C
Seminole, FL 33772-5456
Phone
(727) 350-0453
Fax
(727) 350-0455
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X ME78782 FL Primary

Addresses

Primary practice location

10875 Park Blvd Ste C
Seminole, FL 33772-5456

Mailing address

504 N Reo St
Tampa, FL 33609-1013
Phone (813) 549-2134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110201000481 FL Practitioner - Interventional Pain Management 9638358005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Louisiana State University School of Medicine in New Orleans, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Pain Relief Group PLLCGroup PAC ID 4688960271, 80 clinicians

Practice addresses (Care Compare)

4730 N Habana Ave
Suite 104
Tampa, FL 33614-7165
Phone (813) 739-7498

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME78782FLMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles K Friedman DO PA Interventional Pain Medicine CurrentSince Jan 1, 2002 Accepting new patients
Florida Pain Relief Group PLLC Interventional Pain Medicine CurrentSince Jan 1, 2023 Accepting new patients

Locations

1320 S Belcher Rd
Clearwater, FL 33764
Phone (727) 518-8660

6640 78th Ave N
Ste A
Pinellas Park, FL 33781
Phone (727) 518-8660

6640 78th Ave N
Ste B
Pinellas Park, FL 33781
Phone (727) 518-8660

10875 Park Blvd
Ste C
Seminole, FL 33772
Phone (727) 350-0453

10875 Park Blvd
Seminole, FL 33772
Phone (727) 846-0545

5767 49th St N
St Petersburg, FL 33709
Phone (727) 350-0450

5767 49th St N
Ste A
St Petersburg, FL 33709
Phone (727) 350-0450

3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493

4730 N Habana Ave
Ste 104
Tampa, FL 33614
Phone (813) 426-8260

7518 Cypress Gardens Blvd
Winter Haven, FL 33884
Phone (813) 426-8263

Interoperability endpoints

  • Direct secure messaging: thanh.le@painreliefcenter.directbygreenway.com

Organizations & group practices 2

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1497710875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N REO ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091013",
            "telephone_number": "813-549-2134",
            "fax_number": "813-864-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10875 PARK BLVD STE C",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337725456",
            "telephone_number": "727-350-0453",
            "fax_number": "727-350-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "THANH",
        "middle_name": "THIEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME78782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

Verify at the official NPI Registry.