Individual provider Active NPI

Phuc Nhat Le, M.D.

  • Family Medicine Physician
  • Port Arthur, TX
National Provider Identifier
1821235698
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P1096 Issued in TX
Practice address
2501 Jimmy Johnson Blvd Ste 501a
Port Arthur, TX 77640-2013
Phone
(409) 833-9797
Fax
(833) 584-0685
NPI assigned
Jan 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P1096 TX Primary
Family Medicine Physician 207Q00000X 125053473 IL

Addresses

Primary practice location

2501 Jimmy Johnson Blvd Ste 501a
Port Arthur, TX 77640-2013

Mailing address

2501 Jimmy Johnson Blvd Ste 501a
Port Arthur, TX 77640-2013
Phone (409) 833-9797

Other identifiers 1

IdentifierTypeStateIssuer
286892902MedicaidTX

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
I20111214000384 TX Practitioner - Family Practice 7719152115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RHG of Texas PAGroup PAC ID 6608399829, 32 clinicians

Practice addresses (Care Compare)

2010 Dowlen Rd
Beaumont, TX 77706-2525
Phone (409) 833-9797

Hospital & facility affiliations

  • Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034
  • The Medical Center of Southeast Texas Hospital, Port Arthur, TX, CCN 450518

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125053473ILMDFamily Medicine Physician
P1096TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid County Medical Group PA PastSince Oct 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: phuc.nhat.le.1@19036.direct.athenahealth.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": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1821235698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 JIMMY JOHNSON BLVD STE 501A",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402013",
            "telephone_number": "409-833-9797",
            "fax_number": "833-584-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 JIMMY JOHNSON BLVD STE 501A",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402013",
            "telephone_number": "409-833-9797",
            "fax_number": "833-584-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "PHUC",
        "middle_name": "NHAT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-14",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P1096",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125053473",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286892902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.