MS. KIM LIEN THI LE (PA-C) – Physician Assistant, NPI 1730664020

MS. KIM LIEN THI LE (PA-C) is a healthcare provider. based in Boston, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA6775 (MA). The NPI Number for MS. KIM LIEN THI LE (PA-C) is 1730664020

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MS. KIM LIEN THI LE (PA-C)
NPI
1730664020
Phone
(617) 296-4000
Address
2100 DORCHESTER AVE
Enumeration Date
2 October 2018
Last Update Date
25 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6176969229
Graduation Year
2018 (8 years ago)
PAC ID
5294153094
Group Practice PAC ID
4082931902
Professional Enrollment ID
I20200910001701
Address ID
MA021863874MI100XXSTXX306
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

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Provider Addresses for MS. KIM LIEN THI LE (PA-C)

  • Carney Hospital, 2100, Dorchester Avenue, Lower Mills, Boston, Suffolk County, Massachusetts, 02124, United States

    BOSTON, MA 021245615

    Phone: (617) 296-4000

    Type: Location

  • 39B District Ave

    Dorchester, MA 021251683

    Phone: (617) 638-7869

    Type: Location

  • Hampton Inn, 801, Albany Street, South End, Boston, Suffolk County, Massachusetts, 02118, United States

    FL GROUND

    BOSTON, MA 02119

    Phone:

    Type: Mailing

  • 725 ALBANY ST STE 4B

    BOSTON, MA 021183549

    Phone: (617) 638-5633

    Type: Location

  • 960 MASSACHUSETTS AVE

    FL 2

    BOSTON, MA 02118

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $152.

Total Amount is formed as General ($152) + Research ($0) + Ownership ($0) = $152.

Last reported payment date: 2023-09-21 • Largest payer in this snapshot: Smith+Nephew, Inc. ($152).

Total Amount

$152

General + Research + Ownership

Payments

2

Total payment records

General Amount

$152

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$152
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: 2020-09-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20200910001701IPhysician AssistantMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 02124)

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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: 4082931902View full group profile
NameSpecialtyState
Orthopedic SurgeryMA
Physician AssistantMA
Orthopedic SurgeryMA
Orthopedic SurgeryMA
Orthopedic Surgery, Hand SurgeryMA
Physician AssistantMA
Orthopedic SurgeryMA
Orthopedic SurgeryMA

Reviews

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Frequently asked questions

How is MS. KIM LIEN THI LE (PA-C) identified in CMS data?
CMS-hosted NPPES data lists MS. KIM LIEN THI LE (PA-C) with NPI 1730664020.
Does the file indicate MS. KIM LIEN THI LE (PA-C) is practicing under active NPI?
Directory data currently reports MS. KIM LIEN THI LE (PA-C) as active.
What taxonomy line describes MS. KIM LIEN THI LE (PA-C)?
For research purposes, treat MS. KIM LIEN THI LE (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is MS. KIM LIEN THI LE (PA-C) based?
MS. KIM LIEN THI LE (PA-C) is tied to Boston, Massachusetts in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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