NPIMap

Individual provider Active NPI

Bach-Uyen Lethi, M.D.

  • Family Medicine Physician
  • Milton, FL
National Provider Identifier
1831251222
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0080979 Issued in FL
Practice address
5907 Berryhill Rd
Milton, FL 32570-8278
Phone
(850) 623-9787
Fax
(850) 626-7512
NPI assigned
Dec 14, 2006
Last updated
Feb 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0080979 FL Primary

Addresses

Primary practice location

5907 Berryhill Rd
Milton, FL 32570-8278

Mailing address

5907 Berryhill Rd
Milton, FL 32570-8278
Phone (850) 623-9787

Other identifiers 1

IdentifierTypeStateIssuer
2597713-00MedicaidFL

Other names 1

  • Dr. Bach-Uyen Lethi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100201000477 FL Practitioner - Family Practice 8820154198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Florida College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gulf Coast Physician PartnersGroup PAC ID 5597751776, 5 clinicians

Practice addresses (Care Compare)

5907 Berryhill Rd
Milton, FL 32570-8278

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17
Removal of skin lesions45
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0080979FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Physician Partners CurrentSince Jan 1, 1990 Accepting new patients
Gulf Coast Physician Partners Family Medicine CurrentSince Sep 1, 2000 Accepting new patients

Locations

5992 Berryhill Rd
Milton, FL 32570
Phone (850) 623-9787

5907 Berryhill Rd
Milton, FL 32570
Phone (850) 437-8711

4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000

Interoperability endpoints

  • Direct secure messaging: bachuyenlethi@gcpp.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1831251222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5907 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325708278",
            "telephone_number": "850-623-9787",
            "fax_number": "850-626-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5907 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325708278",
            "telephone_number": "850-623-9787",
            "fax_number": "850-626-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETHI",
        "first_name": "BACH-UYEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0080979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2597713-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BACH-UYEN",
            "last_name": "LETHI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Milton, FL

Sources for this page

Verify at the official NPI Registry.