Active NPI
Long Nguyen Xuan Le, M.D.
- Pulmonary Disease Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- N8026
- Practice address
- 510 E Stoner Ave
Shreveport, LA 71101-4243 - Phone
- (318) 221-8411
- NPI assigned
- Apr 19, 2006
- Last updated
- May 20, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | N8026 | TX | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | N8026 | TX | |
| Pulmonary Disease Physician | 207RP1001X | A79487 | CA | |
| Pulmonary Disease Physician | 207RP1001X | N8026 | TX | Primary |
Addresses
Primary practice location
510 E Stoner Ave
Shreveport, LA 71101-4243
Mailing address
510 E Stoner Ave
Shreveport, LA 71101-4243
Phone (318) 221-8411
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 218833604 | Medicaid | TX | |
| 27402509 | Medicaid | NM | |
| 200618530 A | Medicaid | OK | |
| 218833605 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | longle@sjhhandhmg.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N8026 | TX | MD | Critical Care Medicine (Internal Medicine) Physician |
| A79487 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonora Community Hospital | Current | Accepting new patients | |
| Dallas Pulmonary & Critical Care PA | Critical Care Medicine | Current | Accepting new patients |
| Sonora Community Hospital | Current | Accepting new patients | |
| Sonora Community Hospital | Current | Accepting new patients | |
| Sonora Pulmonary and Critical Care Medicine, Professional Corporation | Pulmonary Disease | Past | Accepting new patients |
Locations
12811 Covey Cir
Sonora, CA 95370
Phone (209) 536-1785
680 Guzzi Ln
Ste 106
Sonora, CA 95370
Phone (209) 532-2792
680 Guzzi Ln
Ste 201
Sonora, CA 95370
Phone (209) 536-1785
900 Greenley Rd
Ste 911
Sonora, CA 95370
Phone (209) 532-0511
900 Greenley Rd
Ste 923
Sonora, CA 95370
Phone (209) 536-5090
221 W Colorado Blvd
Ste 525
Dallas, TX 75208
Phone (214) 956-4525
5605 N MacArthur Blvd
Ste 740
Irving, TX 75038
Phone 2149605681 ext. 75
Organizations & group practices 5
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 Exceed Medical P.A.
- Critical Care Medicine (Internal Medicine) Physician
- Dallas, TX
- NPI 1235402728
-
dba Adventist Health Sonora
- Radiation Oncology Clinic/Center
- Sonora, CA
- NPI 1891732418
-
dba Sierra Cardiology Department
- Cardiovascular Disease Physician
- Sonora, CA
- NPI 1003807066
-
- Community/Retail Pharmacy
- Sonora, CA
- NPI 1740582568
-
- Pulmonary Disease Physician
- Sonora, CA
- NPI 1760519615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1760447031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 E STONER AVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014243",
"telephone_number": "318-221-8411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 E STONER AVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014243",
"telephone_number": "318-221-8411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "LONG",
"middle_name": "NGUYEN XUAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "N8026",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TX",
"license": "N8026",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A79487",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "N8026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "218833604",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "27402509",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200618530 A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "218833605",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "longle@sjhhandhmg.allscriptsdirect.net",
"affiliation": "N",
"address_1": "2773 Harris St Ste B",
"city": "Eureka",
"state": "CA",
"country_code": "US",
"postal_code": "955034866",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Shreveport, LA
- Adriane Brook Lazenby Norman
- DO Van Le, PHARM.D.
- Hong Nhan Le, MD
- Huan Q Le, MD
- Kevin Quoc Le, DO
- Kailey Leach
- William G Leach, PHYSICAL THERAPIST
- Leading Health Care of la, Inc. (Leading Home Care)
- Leading Health Care of la, Inc. (Leading Home Care)
- Leading Health Care of la, Inc. (Leading Home Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.