CHRISTIAN TIMOTHY LE (PA-C) – Physician Assistant, NPI 1104340694

CHRISTIAN TIMOTHY LE (PA-C) is a healthcare provider. based in Dallas, Texas. specializing in Physician Assistant. They hold the professional credentials PA-C. The NPI Number for CHRISTIAN TIMOTHY LE (PA-C) is 1104340694

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTIAN TIMOTHY LE (PA-C)
NPI
1104340694
Phone
(214) 361-9777
Address
8220 WALNUT HILL LN
Enumeration Date
27 July 2017
Last Update Date
2 January 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2143619777
Graduation Year
2017 (9 years ago)
PAC ID
3779859111
Group Practice PAC ID
6204733165
Professional Enrollment ID
I20171030002284
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

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Provider Addresses for CHRISTIAN TIMOTHY LE (PA-C)

  • Walnut Hill Lane, Dallas, Dallas County, Texas, 75231, United States

    DALLAS, TX 752314427

    Phone: (214) 361-9777

    Type: Location

  • North Central Expressway, Dallas, TX, Dallas, Dallas County, Texas, 75204, United States

    DALLAS, TX 752314114

    Phone: (469) 916-0087

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-10-30

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
I20171030002284IPhysician 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.

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

Insurance plans in this area (ZIP 75231)

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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: 6204733165View full group profile

Reviews

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Frequently asked questions

Can I cross-check CHRISTIAN TIMOTHY LE (PA-C) using NPI 1104340694?
NPI 1104340694 belongs to CHRISTIAN TIMOTHY LE (PA-C); compare other details if you need extra assurance.
Is there an active status for CHRISTIAN TIMOTHY LE (PA-C)?
For scheduling context, CHRISTIAN TIMOTHY LE (PA-C) is shown as active in the registry.
What expertise is attributed to CHRISTIAN TIMOTHY LE (PA-C)?
CHRISTIAN TIMOTHY LE (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with CHRISTIAN TIMOTHY LE (PA-C)?
Directory geography for CHRISTIAN TIMOTHY LE (PA-C) centers on Dallas, Texas.
When was this NPI issued?
Enumeration for CHRISTIAN TIMOTHY LE (PA-C) is noted as July 27, 2017 where the registry provides it.

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