RIVER PARK MEDICAL CLINIC
NPI 1417954389
Internal Medicine in Fort Worth, TX
About River Park Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RIVER PARK MEDICAL CLINIC (NPI 1417954389) is a healthcare organization registered as an internal medicine in Fort Worth, Texas and active in the NPI registry since July 2005. The organization holds a CLIA Microscopy certificate valid through August 3, 2028 and lists Quang Trong Le, Do/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
River Park Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to River Park Medical Clinic, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (12)
Fort Worth, TX 76116
Fort Worth, TX 76116
Fort Worth, TX 76116
Fort Worth, TX 76116
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D1028889
Quang Trong Le Do, PA · Fort Worth, TXFrequently 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 Quang Trong Le Do PA's NPI number?
The NPI number for Quang Trong Le Do PA is 1417954389. It was assigned to this organization in the NPPES registry on July 7, 2005. The provider is doing business as River Park Medical Clinic.
Where is Quang Trong Le Do PA located?
Quang Trong Le Do PA is located at 2550 River Park Plz Suite 110, Fort Worth, TX 76116. The listed phone number is (817) 731-1289.
What is Quang Trong Le Do PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Quang Trong Le Do PA enrolled in Medicare?
Yes. Quang Trong Le Do PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Quang Trong Le Do PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Quang Trong Le Do PA. A 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 the clinician's services. The largest specialties are Nurse Practitioner (6), Internal Medicine (4) and Family Practice (2). Of these, 8 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Quang Trong Le Do PA hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D1028889) is associated with this NPI, valid through August 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Quang Trong Le Do PA accept?
Health plans from WellPoint list Quang Trong Le Do PA 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 Quang Trong Le Do PA was last updated on January 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# River Park Medical Clinic · NPI 1417954389
Internal Medicine organization in Fort Worth, Texas. Organization record, active in the CMS NPPES registry since July 7, 2005.
## Identity
- **NPI:** 1417954389 (Entity type: Organization)
- **Enumerated:** July 7, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Quang Trong Le Do Pa
- **Organization subpart:** No
- **Authorized official:** Quang Trong Le, DO/OWNER
## Practice location
- **Address:** 2550 RIVER PARK PLZ, SUITE 110, Fort Worth, TX 76116-0920
- **Phone:** (817) 731-1289 · **Fax:** (817) 731-1291
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Internal Medicine (4), Family Practice (2); 8 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 8, 2019
- **Other identifiers:** Medicaid 168553902 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417954389) · Data from the CMS NPPES public registry.