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DR. LY THIEN NGO M.D.
NPI 1003077074
Psychiatry & Neurology - Neurology in Philadelphia, PA

Active since June 22, 2008PECOS Enrolled
909 WALNUT STREET, 2ND FLOOR, PHILADELPHIA, PA 19107(215) 955-1234(215) 923-6792 Get Directions Write a Review

NPPES record last updated: December 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ly Thien Ngo M.d. NPPES

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

DR. LY THIEN NGO M.D. (NPI 1003077074) is an individual neurology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD445016) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003077074
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. LY THIEN NGOCredential: M.D.
Location Address909 WALNUT STREET, 2ND FLOORPhiladelphia, PA 19107-5509
Mailing Address909 Walnut Street, 2nd FloorPhiladelphia, PA 19107-5509 · (215) 955-1234 · Fax (215) 923-6792
Phone(215) 955-1234
Fax(215) 923-6792
Sole ProprietorNo
Enumeration DateJune 22, 2008
Last NPPES UpdateDecember 15, 2014
✔ NPI 1003077074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in PA · MD445016✔ Licensed in NJ · 25MA09265000
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
909 WALNUT STREET, Philadelphia, PA 19107
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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)

Dr. Ly Thien Ngo M.d. 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 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 10

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

DR. ANDREW YAMPOLSKY DDS, MD
Oral & Maxillofacial Surgery
909 WALNUT STREET, SUITE 300
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6215
ALLYSON ANNE PICKARD
Psychiatry & Neurology (Neurology)
909 WALNUT STREET, 2ND FLOOR, COB
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-1234
DR. CHRISTOPHER T. SKIDMORE M.D.
Psychiatry & Neurology (Neurology)
909 WALNUT STREET, COB, 2ND FLR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-1234
DR. ALLEN F. CHAMPION DDS
Oral & Maxillofacial Surgery
909 WALNUT STREET, 300 COB
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6215
DR. MATTHEW DALLAS VIBBERT MD
Psychiatry & Neurology (Neurology)
909 WALNUT STREET, COB, 2ND FLR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-7000
DR. KIMBERLY A ATKINSON DO
Psychiatry & Neurology (Neurology)
909 WALNUT STREET, COB 2ND FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-1234
SHACHIKA KHANNA DMD
Oral & Maxillofacial Surgery
909 WALNUT STREET, 300 COB
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6215
CALVIN D. GREER CRNP
Nurse Practitioner
909 WALNUT STREET, 2ND FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-7000

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 Ly Ngo's NPI number?

The NPI number for Ly Ngo is 1003077074. It was assigned to this individual provider in the NPPES registry on June 22, 2008.

Where is Ly Ngo located?

Ly Ngo practices at 909 Walnut Street 2nd Floor, Philadelphia, PA 19107. The listed phone number is (215) 955-1234.

What is Ly Ngo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Ly Ngo enrolled in Medicare?

Yes. Ly Ngo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ly Ngo was last updated on December 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.