SUSAN THI LE (PA-C) – Physician Assistant, NPI 1104210863

SUSAN THI LE (PA-C) is a healthcare provider. based in Cypress, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0010-05576 (NC). The NPI Number for SUSAN THI LE (PA-C) is 1104210863

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN THI LE (PA-C)
NPI
1104210863
Phone
(713) 771-1100
Address
21212 NORTHWEST FWY
Enumeration Date
20 March 2015
Last Update Date
5 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
3274846928
Group Practice PAC ID
8729345285
Professional Enrollment ID
I20211029000504
Address ID
TX774411231Fu27131DRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:11State licenses:3Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for SUSAN THI LE (PA-C)

  • 21212 NORTHWEST FWY

    #335

    CYPRESS, TX 774295884

    Phone: (713) 771-1100

    Type: Mailing

  • 2410 N OAK ST

    VALDOSTA, GA 316022533

    Phone: (229) 241-7546

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 332 Open Payments records for all available years, with a total value of $6,145.

Total Amount is formed as General ($6,145) + Research ($0) + Ownership ($0) = $6,145.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($724).

Total Amount

$6,145

General + Research + Ownership

Payments

332

Total payment records

General Amount

$6,145

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2021-10-29

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
I20150723008601IPhysician AssistantGATBD
I20211029000504IPhysician AssistantTXTBD

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
17000Destruction of precancer skin growth, 1 growth1211$0
99214Established patient office or other outpatient visit, 30-39 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 77429)

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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: 8729345285View full group profile
NameSpecialtyState
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YMA
Pathology, DermatologyAL
D E R M A T O L O G YNC
Micrographic Dermatologic Surgery (Mds)TX
Physician AssistantTX
D E R M A T O L O G YTX
Physician AssistantTX
Physician AssistantTX

Reviews

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Frequently asked questions

What identifier follows SUSAN THI LE (PA-C) across health systems?
The NPI 1104210863 uniquely identifies SUSAN THI LE (PA-C) in U.S. healthcare data.
Is SUSAN THI LE (PA-C)'s NPI status active today?
Active status means SUSAN THI LE (PA-C)'s NPI record is not deactivated in the public file.
What services align with SUSAN THI LE (PA-C)'s listing?
SUSAN THI LE (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SUSAN THI LE (PA-C)?
SUSAN THI LE (PA-C) is associated with Cypress, Texas in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.