Active NPI
Baoan Gia Le, M.D.
- Family Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36389
- Practice address
- 4527 N 27TH Ave
Phoenix, AZ 85017-3702 - Phone
- (602) 249-4508
- Fax
- (602) 249-1614
- NPI assigned
- Oct 17, 2006
- Last updated
- Apr 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME 94404 | FL | |
| Family Medicine Physician | 207Q00000X | 23089 | OK | |
| Family Medicine Physician | 207Q00000X | 36389 | AZ | Primary |
Addresses
Primary practice location
4527 N 27TH Ave
Phoenix, AZ 85017-3702
Mailing address
2325 E Shea Blvd
Phoenix, AZ 85028-3115
Phone (918) 344-0130
Other names 1
- Andy Gia Le
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1847 W Heatherbrae Dr
Phoenix, AZ 85015-4764
Phone (602) 274-2100
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 94404 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizna Medical Clinic LLC | Family Medicine | Current | Accepting new patients |
| Epangelia Properties, LLC | Family Medicine | Current | Accepting new patients |
| Arizona Medical Clinic Thomas Rd, LLC | Family Medicine | Past | Accepting new patients |
Locations
761 E University Dr
Ste C
Mesa, AZ 85203
1847 W Heatherbrae Dr
Phoenix, AZ 85015
Phone (602) 249-4508
1847 W Heatherbrae Dr
Ste A
Phoenix, AZ 85015
Phone (602) 263-0663
4527 N 27th Ave
Phoenix, AZ 85017
Phone (602) 249-4508
5140 E Thomas Rd
Phoenix, AZ 85018
Phone (602) 207-8400
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.
-
dba Arizona Medical Clinic
- Family Medicine Physician
- Phoenix, AZ
- NPI 1780819748
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1255768990
-
dba Arizona Medical Clinic
- Family Medicine Physician
- Phoenix, AZ
- NPI 1225893407
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Phoenix, AZ
- NPI 1336246990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208217600000",
"number": "1649350034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2325 E SHEA BLVD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850283115",
"telephone_number": "918-344-0130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4527 N 27TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850173702",
"telephone_number": "602-249-4508",
"fax_number": "602-249-1614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "BAOAN",
"middle_name": "GIA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2008-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME 94404",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "23089",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "36389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDY",
"last_name": "LE",
"middle_name": "GIA",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.