DR. TINA LE (M.D.) – Psychiatry Physician, NPI 1902936768

DR. TINA LE (M.D.) is a healthcare provider. based in Denver, Colorado. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. C182979 (CA). The NPI Number for DR. TINA LE (M.D.) is 1902936768

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. TINA LE (M.D.)
NPI
1902936768
Phone
(303) 550-0924
Address
4455 E 12TH AVE
Enumeration Date
7 March 2007
Last Update Date
16 November 2024

Doctor Profile

Medical School Name
DREXEL UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
5102153730
Graduation Year
1999 (27 years ago)
PAC ID
4082654371
Group Practice PAC ID
8628052974
Professional Enrollment ID
I20240520003222
Address ID
CA948063305SA2523XDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

607 PSYCHIATRY in CO

Provider Addresses for DR. TINA LE (M.D.)

  • 4455 E 12TH AVE

    DENVER, CO 802202415

    Phone: (303) 550-0924

    Type: Mailing

  • 2311 LOVERIDGE RD

    PITTSBURG, CA 945655117

    Phone: (303) 550-0924

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-06-13 • Largest payer in this snapshot: Novo Nordisk Inc ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$125
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221207001322IPsychiatryMITBD
I20240520003222IPsychiatryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80220)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628052974View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
P S Y C H I A T R YCA
P S Y C H I A T R YPA
Clinical Social WorkerCA
-CA
P S Y C H I A T R YCA
Clinical PsychologistCA
-CA
Nurse PractitionerCA
-CA

Reviews

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Frequently asked questions

How is DR. TINA LE (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. TINA LE (M.D.) with NPI 1902936768.
Is DR. TINA LE (M.D.) listed as active for patients and plans?
The listing shows DR. TINA LE (M.D.) as active in the NPI system.
What taxonomy line describes DR. TINA LE (M.D.)?
For research purposes, treat DR. TINA LE (M.D.) as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. TINA LE (M.D.)?
DR. TINA LE (M.D.)'s geographic hint is Denver, Colorado in our summary view.
Is the information about DR. TINA LE (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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