Individual provider Active NPI

Jonathan Ba Le, NP

  • Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1558961995
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
249017 Issued in AZ
Practice address
13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone
(480) 301-8000
NPI assigned
Oct 26, 2020
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 249017 AZ Primary

Addresses

Primary practice location

13400 E Shea Blvd
Scottsdale, AZ 85259-5499

Mailing address

5777 E Mayo Blvd Ste 116
Phoenix, AZ 85054-4502
Phone (480) 301-8000

Other practice location 1

3037 W Cat Balue Dr
Phoenix, AZ 85027-2342
Phone (480) 570-9954

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jle394999@ehrdirect.mayoclinicmsg.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201221001365 AZ Practitioner - Nurse Practitioner 0547672347 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mayo Clinic ArizonaGroup PAC ID 7012829930, 1,618 clinicians

Practice addresses (Care Compare)

13400 E Shea Blvd
Scottsdale, AZ 85259-5404
Phone (480) 301-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
78.27
Promoting interoperability
100
Improvement activities
40
Cost
76.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Arizona CurrentSince Dec 16, 2022 Accepting new patients
Akash Makkar PLLC CurrentSince May 3, 2021 Accepting new patients
Mayo Clinic Arizona CurrentSince Dec 16, 2022 Accepting new patients
Kumar Ravi MD Facc PC Past Accepting new patients
South Mountain Cardiology PastSince Sep 9, 2021 Accepting new patients

Locations

2075 W Pecos Rd
Ste 2
Chandler, AZ 85224
Phone (480) 219-6840

12075 E State Route 69
Dewey, AZ 86327
Phone (928) 404-1488

2929 E Camelback Rd
Ste 116
Phoenix, AZ 85016
Phone (602) 325-2024

3501 N 24th St
Ste 101
Phoenix, AZ 85016

4150 N 108th Ave
Ste 142
Phoenix, AZ 85037
Phone (623) 242-9259

5777 E Mayo Blvd
Ste 116
Phoenix, AZ 85054

13400 E Shea Blvd
Scottsdale, AZ 85259

10503 W Thunderbird Blvd
Ste 113
Sun City, AZ 85351
Phone (623) 583-6420

2227 W Baseline Rd
Ste 101
Tempe, AZ 85283
Phone (602) 254-6640

12207 N 113th Ave
Youngtown, AZ 85363
Phone (623) 977-6532

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18634/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/5780/brand/1/csg/1/fhir/r4

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 1

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": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1558961995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5777 E MAYO BLVD STE 116",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850544502",
            "telephone_number": "480-301-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595499",
            "telephone_number": "480-301-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3037 W Cat Balue Dr",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850272342",
            "country_code": "US",
            "telephone_number": "480-570-9954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "JONATHAN",
        "middle_name": "BA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-26",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "249017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jle394999@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "13400 E Shea Blvd",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852595499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.