DR. MIMI QUYEN THAI THUC LE MD
NPI 1124070420
Internal Medicine - Cardiovascular Disease in Riverside, CA
About Dr. Mimi Quyen Thai Thuc Le Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MIMI QUYEN THAI THUC LE MD (NPI 1124070420) is an individual cardiovascular disease provider in Riverside, California, licensed in California (A88869) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (1999).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Mimi Quyen Thai Thuc Le Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mimi Le reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Riverside, CA 92505
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
RIVERSIDE, CA 92505
RIVERSIDE, CA 92505
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 Mimi Le's NPI number?
The NPI number for Mimi Le is 1124070420. It was assigned to this individual provider in the NPPES registry on May 16, 2006.
Where is Mimi Le located?
Mimi Le practices at 10800 Magnolia Ave, Riverside, CA 92505. The listed phone number is (866) 984-7483.
What is Mimi Le's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Mimi Le enrolled in Medicare?
Yes. Mimi Le is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mimi Le's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mimi Le reassigns Medicare benefits to Southern California Permanente Medical Group (Riverside, CA). 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 Mimi Le's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mimi Le was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Mimi Quyen Thai Thuc Le, MD · NPI 1124070420
Cardiovascular Disease physician in Riverside, California. Individual provider, active in the CMS NPPES registry since May 16, 2006.
## Identity
- **NPI:** 1124070420 (Entity type: Individual)
- **Enumerated:** May 16, 2006
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** A88869 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10800 MAGNOLIA AVE, Riverside, CA 92505-3043
- **Phone:** (866) 984-7483 · **Fax:** (951) 353-5073
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1316979834, Riverside, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania State University College Of Medicine, class of 1999
## Record status
- **NPPES last updated:** December 13, 2021
- **Other identifiers:** Medicaid 00A888690 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1124070420) · Data from the CMS NPPES public registry.