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MARY LE
NPI 1568909315
Nurse Practitioner - Pediatrics in San Jose, CA

Active since January 31, 2017PECOS Enrolled
751 SOUTH BASCOM AVENUE, NICU, SAN JOSE, CA 95128(415) 933-4082 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary Le NPPES

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

MARY LE (NPI 1568909315) is an individual pediatrics provider in San Jose, California, licensed in California (95005484) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568909315
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARY LE
Location Address751 SOUTH BASCOM AVENUE, NICUSan Jose, CA 95128-2604
Mailing Address751 South Bascom Avenue, NicuSan Jose, CA 95128-2604 · (415) 933-4082
Phone(415) 933-4082
Sole ProprietorNo
Enumeration DateJanuary 31, 2017
✔ NPI 1568909315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CA · 95005484
751 SOUTH BASCOM AVENUE, San Jose, CA 95128
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Le 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 95128 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

Other Providers at the Same Location NPPES 5

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

CHEN-TSEN SHU M.D.
Internal Medicine
751 SOUTH BASCOM AVENUE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
DR. HENRY NG HUIE MD
Physical Medicine & Rehabilitation
751 SOUTH BASCOM AVENUE, DEPARTMENT OF PHYSICAL MEDICINE AND REHABILITATION
SAN JOSE, CA 95128
Santa Clara County (408) 885-2100
PETER MICHAEL INTEMANN MD
Emergency Medicine
751 SOUTH BASCOM AVENUE, SANTA CLARA VALLEY MEDICAL CENTER
SAN JOSE, CA 95128
Santa Clara County (408) 885-2334
CHRISTOPHER ROMBAOA M.D.
Internal Medicine (Gastroenterology)
751 SOUTH BASCOM AVENUE
SAN JOSE, CA 95128
Santa Clara County (619) 972-6910
PHILIP ABRAHAM KURIEN M.D.
Anesthesiology
751 SOUTH BASCOM AVENUE, HOUSE STAFF COORDINATOR SANTA CLARA VALLEY MEDICAL CENT
SAN JOSE, CA 95128
Santa Clara County (408) 885-5110

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 Mary Le's NPI number?

The NPI number for Mary Le is 1568909315. It was assigned to this individual provider in the NPPES registry on January 31, 2017.

Where is Mary Le located?

Mary Le practices at 751 South Bascom Avenue Nicu, San Jose, CA 95128. The listed phone number is (415) 933-4082.

What is Mary Le's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Mary Le enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mary Le was last updated on January 31, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.