Individual provider Active NPI

Khoi Manh Le, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Fresno, CA
National Provider Identifier
1629048012
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
A77166 Issued in CA
Practice address
6323 N Fresno St
Fresno, CA 93710-5282
Phone
(559) 785-1310
NPI assigned
Jan 26, 2006
Last updated
Dec 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A77166 CA
Clinical Cardiac Electrophysiology Physician 207RC0001X A77166 CA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040629001564 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Cardiac Electrophysiology 9537145495 Reassigns benefits to 1 organization
Practice locations: Fresno, CA; Clovis, CA

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology, Internal Medicine
Education
Saint Louis University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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

Merit-based Incentive Payment System (MIPS)

Final score
21.89 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
72.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A77166CAMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno Community Hospital and Medical Center Current Accepting new patients
Advanced Specialty Care Cardiovascular Disease 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 CurrentSince Jan 14, 2010 Accepting new patients
Orohealth Corporation a Non Profit Healthcare System PastSince Feb 25, 2012 Accepting new patients
Frances Mahon Deaconess Hospital 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

Organizations & group practices 8

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 4

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1629048012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105282",
            "telephone_number": "559-320-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6323 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105282",
            "telephone_number": "559-785-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "KHOI",
        "middle_name": "MANH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A77166",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "A77166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.