Individual provider Active NPI

Quang T Le, MD

  • Dermatology Physician
  • Pembroke Pines, FL
National Provider Identifier
1811947435
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME82092 Issued in FL
Practice address
603 N Flamingo Rd
Ste 350
Pembroke Pines, FL 33028-1013
Phone
(954) 435-5100
Fax
(954) 435-5816
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME82092 FL Primary

Addresses

Primary practice location

603 N Flamingo Rd
Ste 350
Pembroke Pines, FL 33028-1013

Mailing address

603 N Flamingo Rd
Ste 350
Pembroke Pines, FL 33028-1013
Phone (954) 435-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101008000410 FL Practitioner - Dermatology 3375543796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aqua Dermatology of Florida, PAGroup PAC ID 1153390414, 184 clinicians

Practice addresses (Care Compare)

603 N Flamingo Rd
Suite 350
Pembroke Pines, FL 33028-1013
Phone (954) 435-5100

Hospital & facility affiliations

  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision59
Removal of skin lesions1138
Removal of nail tissue1-10
Removal or shaving of skin growth66
Skin biopsy302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME82092FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aqua Dermatology of Florida, PA Dermatology CurrentSince May 8, 2017 Accepting new patients
Naples Center for Dermatology & Riverchase Dermatology CurrentSince May 8, 2017 Accepting new patients

Locations

1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075

603 N Flamingo Rd
Ste 350
Pembroke Pnes, FL 33028
Phone (954) 435-5100

2625 Executive Park Dr
Ste 7
Weston, FL 33331
Phone (954) 385-1544

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: lequang@aquadermatology.emadirect.md

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 1

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1811947435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N FLAMINGO RD",
            "address_2": "STE 350",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281013",
            "telephone_number": "954-435-5100",
            "fax_number": "954-435-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N FLAMINGO RD",
            "address_2": "STE 350",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281013",
            "telephone_number": "954-435-5100",
            "fax_number": "954-435-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "QUANG",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-03-07",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME82092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.