Individual provider Active NPI

Chuong Minh Le, MD

  • Neuromuscular Medicine (Psychiatry & Neurology) Physician
  • San Jose, CA
National Provider Identifier
1568501005
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084N0008X
License
A112526 Issued in CA
Practice address
200 Jose Figueres Ave
Suite 475
San Jose, CA 95116-1500
Phone
(615) 346-8182
Fax
(615) 829-8950
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X D72710 MD
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 43504 KY
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X MD0000046815 TN
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X N8208 TX
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X MD60213693 WA
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 14015 NV
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 4301099409 MI
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 262409 NY
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X TL34068 SC
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 10250474 VA
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 25MAA08984700 NJ
Neurology Physician 2084N0400X 50509 CT
Neurology Physician 2084N0400X TM2013-0024 NM
Neurology Physician 2084N0400X IP970 KY
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X A112526 CA Primary

Addresses

Primary practice location

200 Jose Figueres Ave
Suite 475
San Jose, CA 95116-1500

Mailing address

336 22ND Ave N
Nashville, TN 37203-1844
Phone (615) 346-8182

Other identifiers 2

IdentifierTypeStateIssuer
FH493ZOtherCAMEDICARE PTAN- INDIVIDUAL
103I136760OtherTNMEDICARE PTAN- INDIVIDUAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20110826000431 CA Practitioner - Neurology 9537339726 Reassigns benefits to 1 organization
Practice locations: San Jose, CA
I20190402001572 GA Practitioner - Neurology 9537339726 Reassigns benefits to 1 organization
Practice locations: Savannah, GA

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 Jose Figueres Ave
Suite 475
San Jose, CA 95116-1597
Phone (408) 800-4044

Hospital & facility affiliations

  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43504KYMDNeuromuscular Medicine (Psychiatry & Neurology) Physician
D72710MDMDNeuromuscular Medicine (Psychiatry & Neurology) Physician
25MAA08984700NJMDNeuromuscular Medicine (Psychiatry & Neurology) Physician
TL34068SCMDNeuromuscular Medicine (Psychiatry & Neurology) Physician
MD0000046815TNMDNeuromuscular Medicine (Psychiatry & Neurology) Physician
10250474VAMDNeuromuscular Medicine (Psychiatry & Neurology) Physician
MD60213693WAMDNeuromuscular Medicine (Psychiatry & Neurology) Physician
50509CTMDNeurology Physician
IP970KYMDNeurology Physician
TM2013-0024NMMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium Current Accepting new patients
NW Monitoring, LLC Neurology CurrentSince Nov 3, 2012 Accepting new patients
County of Santa Clara Past Accepting new patients
Rtna PC Past Accepting new patients
Active Diagnostics of NV LLC Past Accepting new patients
Nuvasive Clinical Services Monitoring, Inc. Neurology Past Accepting new patients

Locations

25 N 14th St
Ste 660
San Jose, CA 95112
Phone (408) 389-3500

9811 W Charleston Blvd
Ste 2641
Las Vegas, NV 89117
Phone (281) 742-9544

3004B Poston Ave
Nashville, TN 37203

9333 Martin Way E
Ste 214
Olympia, WA 98516
Phone (360) 539-8487

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: cmle@direct.anthc.org

Organizations & group practices 7

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.

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1568501005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031844",
            "telephone_number": "615-346-8182",
            "fax_number": "615-829-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "SUITE 475",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161500",
            "telephone_number": "615-346-8182",
            "fax_number": "615-829-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "CHUONG",
        "middle_name": "MINH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "MD",
            "license": "D72710",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
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        },
        {
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            "taxonomy_group": "",
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            "license": "MD0000046815",
            "primary": false
        },
        {
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            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "TX",
            "license": "N8208",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "WA",
            "license": "MD60213693",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "NV",
            "license": "14015",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "MI",
            "license": "4301099409",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "NY",
            "license": "262409",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "SC",
            "license": "TL34068",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "VA",
            "license": "10250474",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "NJ",
            "license": "25MAA08984700",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "50509",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NM",
            "license": "TM2013-0024",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "IP970",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "CA",
            "license": "A112526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN- INDIVIDUAL",
            "identifier": "FH493Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN- INDIVIDUAL",
            "identifier": "103I136760",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.