Individual provider Active NPI

Phong Le, M.D.

  • Otolaryngology Physician
  • Wichita, KS
National Provider Identifier
1841604956
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
04-41897 Issued in KS
Practice address
10090 E Shannon Woods Cir
Wichita, KS 67226-4107
Phone
(316) 684-2838
NPI assigned
Jun 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 04-41897 KS Primary

Addresses

Primary practice location

10090 E Shannon Woods Cir
Wichita, KS 67226-4107

Mailing address

10090 E Shannon Woods Cir
Wichita, KS 67226-4107
Phone (316) 684-2838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20190726001510 KS Practitioner - Otolaryngology 5092014225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichita Surgical Specialists PAGroup PAC ID 6507840634, 60 clinicians

Practice addresses (Care Compare)

10090 E Shannon Woods Cir
Wichita, KS 67226-4107
Phone (316) 684-2838

3840 N Ridge Rd
Wichita, KS 67205-7815
Phone (316) 722-5811

818 N Emporia St
Suite 200
Wichita, KS 67214-3726
Phone (316) 263-0296

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.77 of 100Reported as individual
Quality
82.31
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-41897KSMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Surgical Specialists PA CurrentSince Aug 1, 2019 Accepting new patients

Locations

700 W Central Ave
Ste 202
El Dorado, KS 67042
Phone (316) 321-8762

551 N Hillside St
Ste 201
Wichita, KS 67214
Phone (316) 263-0296

10090 E Shannon Woods Cir
Wichita, KS 67226
Phone (316) 684-2838

3840 N Ridge Rd
Wichita, KS 67205
Phone (316) 260-4441

310 S Hillside St
Wichita, KS 67211
Phone (316) 264-3505

818 N Emporia St
Ste 200
Wichita, KS 67214
Phone (316) 263-0296

Interoperability endpoints

  • Direct secure messaging: ple503023@direct.musc.edu

Organizations & group practices 1

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 6

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": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1841604956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10090 E SHANNON WOODS CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264107",
            "telephone_number": "316-684-2838",
            "fax_number": "316-684-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10090 E SHANNON WOODS CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264107",
            "telephone_number": "316-684-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "PHONG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KS",
            "license": "04-41897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.