NPIMap

Individual provider Active NPI

Terry Ngoc Le

  • Nephrology Physician
  • Fort Worth, TX
National Provider Identifier
1770826596
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
R5155 Issued in TX
Practice address
2221 8TH Ave
Fort Worth, TX 76110-1812
Phone
(817) 336-5060
Fax
(817) 336-1744
NPI assigned
Mar 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 302652 LA
Nephrology Physician 207RN0300X R5155 TX Primary

Addresses

Primary practice location

2221 8TH Ave
Fort Worth, TX 76110-1812

Mailing address

2221 8TH Ave
Fort Worth, TX 76110-1812
Phone (817) 336-5060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180710000510 TX Practitioner - NephrologyPractitioner - Internal Medicine 6204114879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Texas Medical Branch at Galveston, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dialysis AssociatesGroup PAC ID 1557308319, 25 clinicians

Practice addresses (Care Compare)

919 Travis Ave
Fort Worth, TX 76104-3137
Phone (817) 810-0700

Hospital & facility affiliations

  • Tarrant County Campus Dialysis Dialysis facility, Fort Worth, TX, CCN 672517
  • Dialyze Direct Sugarland Dialysis facility, Sugar Land, TX, CCN 672800
  • FKC South Arlington Dialysis facility, Arlington, TX, CCN 742723
  • West Arlington Dialysis Dialysis facility, Arlington, TX, CCN 672810
  • DaVita Mansfield Dialysis Center Dialysis facility, Mansfield, TX, CCN 672550
  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Medical City Arlington Hospital, Arlington, TX, CCN 450675
  • Baylor Scott and White All Saints Medical Center Hospital, Fort Worth, TX, CCN 450137
  • Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779
  • Texas Health Arlington Memorial Hospital Hospital, Arlington, TX, CCN 450064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R5155TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dialysis Associates Nephrology CurrentSince Aug 1, 2018 Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients
Arlington Eye Physicians, PA PastSince Nov 1, 2003 Accepting new patients

Locations

1710 Oak Village Blvd
Ste 150
Arlington, TX 76017
Phone (817) 275-1900

2221 8th Ave
Fort Worth, TX 76110

919 Travis Ave
Fort Worth, TX 76104
Phone (817) 810-0700

950 W Magnolia Ave
Ft Worth, TX 76104
Phone (817) 912-9600

Interoperability endpoints

  • Direct secure messaging: tle28986@direct.acumenmd.com

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1770826596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101812",
            "telephone_number": "817-336-5060",
            "fax_number": "817-336-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101812",
            "telephone_number": "817-336-5060",
            "fax_number": "817-336-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "TERRY",
        "middle_name": "NGOC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-29",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "302652",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "R5155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.