Individual provider Active NPI

Minh Quang Le, D.O

  • Family Medicine Physician
  • Arlington, TX
National Provider Identifier
1629203724
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N7713 Issued in TX
Practice address
6507 S Cooper St
Suite 105
Arlington, TX 76001-5817
Phone
(817) 466-9100
Fax
(817) 466-9410
NPI assigned
May 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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 N7713 TX Primary

Addresses

Primary practice location

6507 S Cooper St
Suite 105
Arlington, TX 76001-5817

Mailing address

6507 S Cooper St
Suite 105
Arlington, TX 76001-5817
Phone (817) 466-9100

Other identifiers 2

IdentifierTypeStateIssuer
301874902MedicaidTX
8DE832OtherTXBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120802000744 TX Practitioner - Family Practice 7012163207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

5224 S State Hwy 360
Grand Prairie, TX 75052-0950
Phone (972) 522-0691

6507 S Cooper St
Suite 105
Arlington, TX 76001-5818
Phone (817) 466-9100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N7713TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth Family Medicine CurrentSince Aug 11, 2012 Accepting new patients
Medhealth CurrentSince Aug 11, 2012 Accepting new patients

Locations

6507 S Cooper St
Ste 105
Arlington, TX 76001
Phone (817) 466-9100

7979 W Virginia Dr
Dallas, TX 75237
Phone (972) 296-4828

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

Interoperability endpoints

  • Direct secure messaging: mle14144@dm.mhd.com

Organizations & group practices 2

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 3

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": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1629203724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 S COOPER ST",
            "address_2": "SUITE 105",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760015817",
            "telephone_number": "817-466-9100",
            "fax_number": "817-466-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 S COOPER ST",
            "address_2": "SUITE 105",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760015817",
            "telephone_number": "817-466-9100",
            "fax_number": "817-466-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "MINH",
        "middle_name": "QUANG",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N7713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301874902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8DE832",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.