Individual provider Active NPI

Kristina Le, MD

  • Family Medicine Physician
  • Ferndale, MI
National Provider Identifier
1558986984
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301510200 Issued in MI
Practice address
10300 W 8 Mile Rd
Ferndale, MI 48220-2100
Phone
(248) 398-3200
Fax
(248) 691-4963
NPI assigned
Jun 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301510200 MI Primary

Addresses

Primary practice location

10300 W 8 Mile Rd
Ferndale, MI 48220-2100

Mailing address

10300 W 8 Mile Rd
Ferndale, MI 48220-2100
Phone (248) 398-3200

Other practice location 1

16226 Grand River Ave
Detroit, MI 48227-1824
Phone (313) 916-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20230824002023 MI Practitioner - Family Practice 8820451891 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Western Michigan Un Homer Stryker School of Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

10300 W 8 Mile Rd
Ferndale, MI 48220-2100
Phone (248) 398-3200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301510200MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mdslivenow PLLC CurrentSince Jul 3, 2023 Accepting new patients
Henry Ford Pathology Current Accepting new patients
Henry Ford Health System Current Accepting new patients
Advanced MD Specialty Care PLLC CurrentSince Sep 1, 2023 Accepting new patients
Henry Ford Health System CurrentSince Sep 12, 2023 Accepting new patients
Henr Y Ford Health System Family Medicine CurrentSince Sep 12, 2023 Accepting new patients

Locations

8542 N Canton Center Rd
Canton, MI 48187
Phone (313) 974-6533

15400 N Commerce Dr
Dearborn, MI 48120
Phone (313) 960-6605

3370 E Jefferson Ave
Detroit, MI 48207
Phone (313) 656-1600

16226 Grand River Ave
Detroit, MI 48227
Phone (313) 836-5490

4100 Woodward Ave
Detroit, MI 48201
Phone (313) 449-7954

7800 W Outer Dr
Detroit, MI 48235
Phone (313) 387-8800

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

20526 Plymouth Rd
Detroit, MI 48228
Phone (313) 273-3780

10300 W 8 Mile Rd
Ferndale, MI 48220
Phone (248) 398-3200

Interoperability endpoints

  • Direct secure messaging: kle653992@direct.hfhs.org

Organizations & group practices 6

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": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1558986984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 W 8 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202100",
            "telephone_number": "248-398-3200",
            "fax_number": "248-691-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 W 8 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202100",
            "telephone_number": "248-398-3200",
            "fax_number": "248-691-4963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16226 Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482271824",
            "country_code": "US",
            "telephone_number": "313-916-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "KRISTINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301510200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

Verify at the official NPI Registry.