DR. TOAN HUU LE M.D.
NPI 1003085390
Family Medicine in Miramar, FL

Q: What is Toan Le's NPI number?

The NPI number for Toan Le is 1003085390. It was assigned to this individual provider in the NPPES registry on February 21, 2008.

Q: What is Toan Le's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Toan Le was last updated on February 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 21, 2008PECOS Enrolled

77.67/100

CMS Quality Rating

3601 SW 160TH AVE, STE 250, MIRAMAR, FL 33027(877) 866-7123 Get Directions Write a Review

NPPES record last updated: February 17, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Toan Huu Le M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TOAN HUU LE M.D. (NPI 1003085390) is an individual family medicine provider in Miramar, Florida, licensed in Texas (M8118) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003085390

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. TOAN HUU LECredential: M.D.

Location Address3601 SW 160TH AVE, STE 250Miramar, FL 33027-6308

Mailing Address17919 Benchmark DrDallas, TX 75252-6444 · (972) 415-7827

Phone(877) 866-7123

Sole ProprietorYes

Enumeration DateFebruary 21, 2008

Last NPPES UpdateFebruary 17, 2014

✔ NPI 1003085390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · M8118

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3601 SW 160TH AVE, Miramar, FL 33027

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Toan Huu Le M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Toan Le reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vohra Post Acute Care Physicians Of Texas, PLLC

1,100 mi

Family Medicine

17218 PRESTON RD STE 2000
Dallas, TX 75252

Reassigned Medicare billing, Texas enrollment
107 clinicians in this Medicare group

NPI 1821424789 (877) 866-7123

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

1,270 services200 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.

389 services75 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

311 services122 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

297 services150 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

293 services82 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

193 services54 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

182 services128 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

101 services44 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

88 services70 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

84 services84 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

48 services41 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

46 services46 patients

Application of chemical to stop tissue regrowth in wound 17250

This procedure involves applying a special chemical to a wound to prevent unwanted tissue from growing back. It aids in proper healing by ensuring only healthy tissue regrows. It's a common, safe practice in wound care.

45 services22 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

22 services22 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.67/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.83

Promoting Interoperability

100

Improvement Activities

Cost

15.42

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Collagen based wound filler, dry form, sterile, per gram of collagen A6010

DME-Medical/Surgical Supplies · category DA023N

2 suppliers13 claims382 services$30.05 avg. paid by Medicare

Collagen dressing, sterile, size 16 sq. in. or less, each A6021

DME-Medical/Surgical Supplies · category DA023N

2 suppliers33 claims1,128 services$20.44 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

2 suppliers31 claims887 services$7.11 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219

DME-Medical/Surgical Supplies · category DA023N

2 suppliers71 claims2,188 services$0.93 avg. paid by Medicare

Hydrogel dressing, wound filler, gel, per fluid ounce A6248

DME-Medical/Surgical Supplies · category DA023N

2 suppliers11 claims33 services$15.82 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HAYRIYE BERIL GOK M.D.

Family Medicine

3601 SW 160TH AVE, STE 250
MIRAMAR, FL 33027

Broward County (877) 866-7123

DR. SURYANARAYAN JAIRAJ MD

Family Medicine

3601 SW 160TH AVE, SUITE 250
MIRAMAR, FL 33027

Broward County (877) 866-7123

GUSTAVO P CAMARANO MD

Internal Medicine (Cardiovascular Disease)

3601 SW 160TH AVE, SUITE 250
MIRAMAR, FL 33027

Broward County (877) 866-7123

DR. TERESA M ELLIOTT MD

Family Medicine

3601 SW 160TH AVE, SUITE 250
MIRAMAR, FL 33027

Broward County (877) 866-7123

ANDREA C. DORY MD

Family Medicine

3601 SW 160TH AVE, SUITE #250
MIRAMAR, FL 33027

Broward County (305) 866-9951

DR. LIRON BELTZER M.D.

Family Medicine

3601 SW 160TH AVE, SUITE 250
MIRAMAR, FL 33027

Broward County (954) 399-4642

VICKI TSAI M.D.

Family Medicine

3601 SW 160TH AVE, SUITE 250
MIRAMAR, FL 33027

Broward County (877) 866-7123

DR. LOUIS LOBALSAMO M.D.

Internal Medicine

3601 SW 160TH AVE, SUITE 250
MIRAMAR, FL 33027

Broward County (877) 866-7123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Toan Le's NPI number?

The NPI number for Toan Le is 1003085390. It was assigned to this individual provider in the NPPES registry on February 21, 2008.

Where is Toan Le located?

Toan Le practices at 3601 SW 160th Ave Ste 250, Miramar, FL 33027. The listed phone number is (877) 866-7123.

What is Toan Le's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Toan Le enrolled in Medicare?

Yes. Toan Le is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Toan Le's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toan Le reassigns Medicare benefits to Vohra Post Acute Care Physicians Of Texas, PLLC (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Toan Le's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Toan Le accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 10 other insurers list Toan Le as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Toan Le was last updated on February 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.