NPIMap

Individual provider Active NPI

Amy Le

  • Emergency Medicine Physician
  • San Antonio, TX
National Provider Identifier
1992149538
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R2388 Issued in TX
Practice address
4749 Fredericksburg Rd Ste a
San Antonio, TX 78229-4465
Phone
(210) 997-8630
NPI assigned
Apr 25, 2013
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X UO 3668 FL
Emergency Medicine Physician 207P00000X R2388 TX Primary
Emergency Medicine Physician 207P00000X 207P0000X NY

Addresses

Primary practice location

4749 Fredericksburg Rd Ste a
San Antonio, TX 78229-4465

Mailing address

100 High St # D-6
Dept of Emergency Medicine
Buffalo, NY 14203-1126
Phone (916) 524-4887

Other practice location 1

100 High St # D-6
Dept of Emergency Medicine
Buffalo, NY 14203-1126
Phone (916) 524-4887

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170831000725 TX Practitioner - Emergency Medicine 3971876673 Reassigns benefits to 4 organizations
I20231016002708 CA Practitioner - Emergency Medicine 3971876673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Third Coast Emergency Physicians Southwest PAGroup PAC ID 6800794447, 38 clinicians

Practice addresses (Care Compare)

4103 N Loop 1604
San Antonio, TX 78249-1395
Phone (210) 572-8415

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20478CAMDDentist
207P0000XNYMDEmergency Medicine Physician
UO 3668FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Emergency Partners LLC Emergency Medicine CurrentSince Sep 10, 2017 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince Sep 3, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince Sep 3, 2023 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients

Locations

25821 Vermont Ave
Harbor City, CA 90710
Phone (424) 251-7100

25825 Vermont Ave
Harbor City, CA 90710
Phone (310) 325-5111

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

134 Menger Spgs
Boerne, TX 78006
Phone (830) 331-3000

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

12285 Bandera Rd
Helotes, TX 78023
Phone (210) 575-2285

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

12805 W Interstate 10
San Antonio, TX 78249
Phone (210) 575-9805

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

13434 Nacogdoches Rd
San Antonio, TX 78217
Phone (210) 447-7560

6402 Mallard Mdw
San Antonio, TX 78244
Phone (210) 757-5000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

9211 Potranco Rd
San Antonio, TX 78251
Phone (210) 575-9211

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Organizations & group practices 7

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": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1992149538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGH ST # D-6",
            "address_2": "DEPT OF EMERGENCY MEDICINE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031126",
            "telephone_number": "916-524-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 FREDERICKSBURG RD STE A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294465",
            "telephone_number": "210-997-8630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 High St # D-6",
            "address_2": "Dept of Emergency Medicine",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031126",
            "country_code": "US",
            "telephone_number": "916-524-4887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-25",
        "last_updated": "2023-10-27",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "UO 3668",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R2388",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "207P0000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "25825 Vermont Ave",
            "city": "Harbor City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907103518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.