1. Home
  2. Directory
  3. Florida
  4. Riverview
  5. Physician Assistant
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BACH SON LE PA
NPI 1043109630
Physician Assistant in Riverview, FL

Active since June 30, 2025PECOS Enrolled
13403 BOYETTE RD, RIVERVIEW, FL 33569(813) 654-1775(813) 651-9082 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 3, 2026, Jun 30, 2025 (2 updates tracked since 2025).

About Bach Son Le Pa NPPES

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

BACH SON LE PA (NPI 1043109630) is an individual physician assistant in Riverview, Florida and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043109630
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBACH SON LECredential: PA
Location Address13403 BOYETTE RDRiverview, FL 33569-8742
Mailing Address13403 Boyette RdRiverview, FL 33569-8742 · (813) 654-1775 · Fax (813) 651-9082
Phone(813) 654-1775
Fax(813) 651-9082
Sole ProprietorNo
Enumeration DateJune 30, 2025
Last NPPES UpdateSeptember 3, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1043109630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
13403 BOYETTE RD, Riverview, FL 33569
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bach Son Le Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33569 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SARAH SHIRES WALDRON M.D.
Internal Medicine
13403 BOYETTE RD
RIVERVIEW, FL 33569
Hillsborough County (813) 654-1775
ANDREW MEHLMAN M.D.
Internal Medicine (Cardiovascular Disease)
13403 BOYETTE RD
RIVERVIEW, FL 33569
Hillsborough County (813) 654-1775
CHERYL LEE SELLERS D.O
Family Medicine
13403 BOYETTE RD
RIVERVIEW, FL 33569
Hillsborough County (813) 654-1775
CRAIG RANDALL MARTIN M.D.
Internal Medicine (Cardiovascular Disease)
13403 BOYETTE RD
RIVERVIEW, FL 33569
Hillsborough County (813) 654-1775
ELISE FRANCES HAZZARD ARNP
Nurse Practitioner
13403 BOYETTE RD
RIVERVIEW, FL 33569
Hillsborough County (813) 654-1775
MR. GARY DONALD WOODIWISS PA-C
Physician Assistant
13403 BOYETTE RD
RIVERVIEW, FL 33569
Hillsborough County (813) 654-1775
TAKE CONTROL PHYSICAL THERAPY SERVICES, LLC
Physical Therapist
13403 BOYETTE RD, TAKE CONTROL PHYSICAL THERAPY
RIVERVIEW, FL 33569
Hillsborough County (813) 530-0520
JEFFREY D WARTMAN M.D.
Internal Medicine
13403 BOYETTE RD
RIVERVIEW, FL 33569
Hillsborough County (813) 654-1775

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 Bach Le's NPI number?

The NPI number for Bach Le is 1043109630. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Where is Bach Le located?

Bach Le practices at 13403 Boyette Rd, Riverview, FL 33569. The listed phone number is (813) 654-1775.

What is Bach Le's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Bach Le enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bach Le was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.