Individual provider Active NPI

Cuong Le, D.O.

  • Dermatology Physician
  • Centreville, VA
National Provider Identifier
1568997153
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0102206660 Issued in VA
Practice address
13880 Braddock Rd Ste 301
Centreville, VA 20121-2462
Phone
(703) 222-2273
NPI assigned
Apr 21, 2017
Last updated
Jul 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X 0102206660 VA Primary

Addresses

Primary practice location

13880 Braddock Rd Ste 301
Centreville, VA 20121-2462

Mailing address

5310 Harvest Hill Rd Ste 290
Dallas, TX 75230-5826
Phone (214) 420-0650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210610000543 DC Practitioner - Dermatology 2062812217 Reassigns benefits to 1 organization
I20210707003636 VA Practitioner - Dermatology 2062812217 Reassigns benefits to 1 organization
I20211005002393 MD Practitioner - Dermatology 2062812217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Hackensack Meridian School of Med at Seton Hall, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derm Associates LLCGroup PAC ID 4688653306, 44 clinicians

Practice addresses (Care Compare)

10313 Georgia Ave
Suite 309
Silver Spring, MD 20902-5006

13880 Braddock Rd
Suite 301
Centreville, VA 20121-2462
Phone (703) 222-2773

21495 Ridgetop Cir
Suite 105
Sterling, VA 20166-6512
Phone 21442006507537

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision23
Removal of skin lesions410
Removal or shaving of skin growth1-10
Skin biopsy221

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Derm Associates LLC Dermatology CurrentSince Jul 1, 2021 Accepting new patients
Elizabeth Mitchell Dugan MD LLC Past Accepting new patients
Annapolis Dermatology Center, PA Dermatology PastSince Jan 11, 1999 Accepting new patients

Locations

71 Old Mill Bottom Rd N
Ste 300
Annapolis, MD 21409
Phone (301) 681-7000

10313 Georgia Ave
Ste 309
Silver Spring, MD 20902
Phone (301) 681-4368

13880 Braddock Rd
Ste 301
Centreville, VA 20121
Phone (703) 222-2273

21495 Ridgetop Cir
Ste 105
Sterling, VA 20166
Phone (214) 420-0650

Interoperability endpoints

  • Direct secure messaging: cle@usdp7.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1568997153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 HARVEST HILL RD STE 290",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752305826",
            "telephone_number": "214-420-0650",
            "fax_number": "214-736-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK RD STE 301",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212462",
            "telephone_number": "703-222-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "CUONG",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-21",
        "last_updated": "2021-07-29",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0102206660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

Verify at the official NPI Registry.