TON QUANG LE NP
NPI 1225689359
Nurse Practitioner - Psychiatric/Mental Health in Hilliard, OH
About Ton Quang Le Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TON QUANG LE NP (NPI 1225689359) is an individual psychiatric/mental health provider in Hilliard, Ohio, licensed in Ohio (APRN.CNP.0032598) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Ton Quang Le Np 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 Reassignments
4Medicare enrollment records show Ton Le reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hilliard, OH 43026
- Reassigned Medicare billing, Ohio enrollment
- 82 clinicians in this Medicare group
Columbus, IN 47201
- Reassigned Medicare billing, Ohio enrollment
- 98 clinicians in this Medicare group
Indianapolis, IN 46204
- Reassigned Medicare billing, Ohio enrollment
- 104 clinicians in this Medicare group
Merrillville, IN 46410
- Reassigned Medicare billing, Ohio enrollment
- 134 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 12
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 43026 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ton Le's NPI number?
The NPI number for Ton Le is 1225689359. It was assigned to this individual provider in the NPPES registry on September 20, 2019.
Where is Ton Le located?
Ton Le practices at 3958 Brown Park Dr, Hilliard, OH 43026. The listed phone number is (260) 483-9081.
What is Ton Le's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Ton Le enrolled in Medicare?
Yes. Ton 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 organizations bill Medicare for Ton Le's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ton Le reassigns Medicare benefits to 4 organizations: Eventus Ecs - Ohio LLC (Hilliard, OH), Eventus Wholehealth Midwest Inc (Columbus, IN), Eventus Ecs, Inc (Indianapolis, IN) and Extended Care Specialists, Inc (Merrillville, IN). Each 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 Ton Le's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ton Le accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 6 other insurers list Ton 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 Ton Le was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ton Quang Le, NP · NPI 1225689359
Psychiatric/Mental Health physician in Hilliard, Ohio. Individual provider, active in the CMS NPPES registry since September 20, 2019.
## Identity
- **NPI:** 1225689359 (Entity type: Individual)
- **Enumerated:** September 20, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN.CNP.0032598 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3958 BROWN PARK DR, Hilliard, OH 43026-1160
- **Phone:** (260) 483-9081
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Eventus Ecs - Ohio LLC (NPI 1972321842, Hilliard, OH); Eventus Wholehealth Midwest Inc (NPI 1386252757, Columbus, IN); Eventus Ecs, Inc (NPI 1073353496, Indianapolis, IN); Extended Care Specialists, Inc (NPI 1134146079, Merrillville, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** February 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1225689359) · Data from the CMS NPPES public registry.