Individual provider Active NPI

Khanh Le, DPM

  • Foot & Ankle Surgery Podiatrist
  • Sammamish, WA
National Provider Identifier
1902280431
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO60841051 Issued in WA
Practice address
466 228TH Ave NE
Sammamish, WA 98074-7209
Phone
(425) 868-3338
NPI assigned
Jul 14, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO60841051 WA Primary

Addresses

Primary practice location

466 228TH Ave NE
Sammamish, WA 98074-7209

Mailing address

466 228TH Ave NE
Sammamish, WA 98074-7209
Phone (425) 868-3338

Other practice location 1

1609 116th Ave NE
Bellevue, WA 98004-3024
Phone (425) 283-5093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190301001874 WA Practitioner - Podiatry 4880933290 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

466 228TH Ave NE
Sammamish, WA 98074-7209
Phone (425) 868-3338

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue87
Removal of skin lesions20
Removal of nail tissue121
Removal or shaving of skin growth111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO60841051WAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Plateau Foot and Ankle Clinic PLLC Single Specialty CurrentSince Dec 2, 2019 Accepting new patients
Bellevue Podiatric Physicians PLLC Single Specialty CurrentSince Dec 15, 2018 Accepting new patients

Locations

1609 116th Ave NE
Bellevue, WA 98004
Phone (425) 283-5093

466 228th Ave NE
Sammamish, WA 98074
Phone (206) 868-3338

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6873/brand/1/csg/1/fhir/r4
  • Direct secure messaging: khanh.le@pfaacp-wa.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1902280431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 228TH AVE NE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980747209",
            "telephone_number": "425-868-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 228TH AVE NE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980747209",
            "telephone_number": "425-868-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1609 116th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043024",
            "country_code": "US",
            "telephone_number": "425-283-5093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "KHANH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-14",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO60841051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sammamish, WA

Sources for this page

Verify at the official NPI Registry.