Ashley Elizabeth Augustine-Le

Individual provider Active NPI Pediatrics Physician · Cleveland, OH

NPI 1861132292 · NPPES record last updated Apr 9, 2025

Key facts

NPI
1861132292
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
35.152834 (OH)
Practice address
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone
(216) 844-3911
NPI assigned
Apr 1, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220526002279 OH Order and Referring Only - Pediatric Medicine
Practitioner - Pediatric Medicine
1658759931

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
35.152834OHMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: aaugustine38306@ehrdirect.uhhospitals.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 35.152834 OH Yes

Addresses

Primary practice location

11100 Euclid Ave
Cleveland, OH 44106-1716

Mailing address

11100 Euclid Ave
Cleveland, OH 44106-1716

Other providers in Cleveland, OH

All providers in Cleveland, OH · Pediatrics Physician in Ohio

Sources for this page

Verify at the official NPI Registry.