Khoi Manh Le, M.D.
Individual provider Active NPI Clinical Cardiac Electrophysiology Physician · Fresno, CA
NPI 1629048012 · NPPES record last updated Dec 30, 2015
Key facts
- NPI
- 1629048012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Cardiac Electrophysiology Physician 207RC0001X
- License
- A77166 (CA)
- Practice address
- 6323 N Fresno St
Fresno, CA 93710-5282 - Phone
- (559) 785-1310
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Saint Louis University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fresno Community Hospital and Medical Center
Practice addresses (Care Compare)
15 E Audubon Dr
Fresno Heart and Surgical Hospital
Fresno, CA 93720-1542
Phone (559) 433-8000
2755 Herndon Ave
Clovis, CA 93611-6800
Phone (559) 324-4000
2755 Herndon Ave
Clovis, CA 93611-6801
Phone (559) 324-4000
2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000
6246 N 1St St
Suite 101
Fresno, CA 93710-5480
Phone (559) 696-1051
6323 N Fresno St
Suite 104
Fresno, CA 93710-5282
Phone (559) 785-1310
Hospital & facility affiliations
- Clovis Community Medical Center
- Community Regional Medical Center
- Adventist Health Reedley
- Adventist Health Hanford
Merit-based Incentive Payment System (MIPS)
- Final score
- 21.89 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 72.96
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 12 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040629001564 | CA | Practitioner - Cardiovascular Disease (Cardiology) |
9537145495 |
Reassigns benefits to 1 organization Practice locations: Fresno, CA; Clovis, CA |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A77166 | CA | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresno Community Hospital and Medical Center | Current | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Current |
Accepting new patients | |
| Fresno Community Hospital and Medical Center | Current | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Current | Accepting new patients | |
| Advanced Specialty Care | Cardiovascular Disease | Current | Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Orohealth Corporation a Non Profit Healthcare System | Past |
Accepting new patients | |
| Advanced Specialty Care | Cardiovascular Disease | Past | Accepting new patients |
Locations
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
15 E Audubon Dr
Fresno, CA 93720
Phone (559) 433-8000
2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965
6323 N Fresno St
Ste 105
Fresno, CA 93710
Phone (559) 431-0995
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A77166 | CA | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | A77166 | CA | Yes |
Addresses
Primary practice location
6323 N Fresno St
Fresno, CA 93710-5282
Mailing address
6323 N Fresno St
Fresno, CA 93710-5282
Phone (559) 320-0545
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA 168451 | Other | PTAN |
Other providers in Fresno, CA
- Han Thi Ngoc Le
- Hieutrung Le
- Hoang Le
- Hoang T Le
- Joan Le
- Khuyen Kieu Le
- Lendy Le
- Linda Thi Le
- Loc Phung Le
- Michelle Hue Le
All providers in Fresno, CA · Clinical Cardiac Electrophysiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.