TRAN HUYEN THI LY MD
NPI 1053520296
Allergy & Immunology - Allergy in Dallas, TX

NPI Status: Active since May 22, 2007

Contact Information

9101 N CENTRAL EXPY
SUITE 430
DALLAS, TX
ZIP 75231
Phone: (214) 363-8889
Fax: (214) 363-9416

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  • Individual
  • Female
  • Years of Experience 22
  • Allergy & Immunology
  • Allergy
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About TRAN LY

This page provides the complete NPI Profile along with additional information for Tran Ly, a provider established in Dallas, Texas with a medical specialization in Allergy & Immunology, focusing in allergy and more than 22 years of experience. She graduated from University Of Texas Southwestern Medical School At Dallas in 2004. The healthcare provider is registered in the NPI registry with number 1053520296 assigned on May 2007. The practitioner's primary taxonomy code is 207KA0200X with license number M4311 (TX). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1053520296
Provider Name
TRAN HUYEN THI LY MD
Gender
Female
Entity Type
Individual
Location Address
9101 N CENTRAL EXPY SUITE 430 DALLAS, TX 75231
Location Phone
(214) 363-8889
Location Fax
(214) 363-9416
Mailing Address
9101 N CENTRAL EXPY SUITE 430 DALLAS, TX 75231
Mailing Phone
(214) 363-8889
Mailing Fax
(214) 363-9416
Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year
2004
Is Sole Proprietor?
No
Enumeration Date
05-22-2007
Last Update Date
08-14-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Allergy & Immunology Allergy

Taxonomy Code
207KA0200X
Type
Allopathic & Osteopathic Physicians
License No.
M4311
License State
TX
Taxonomy Description
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BSW Diabetes Care Gold HMO 014 - HMO
  • BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Elite Gold HMO 004 - HMO
  • BSW Elite Gold HMO 012 - HMO
  • BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Prime Silver HMO 008 - HMO
  • BSW Prime Silver HMO 005 - HMO
  • BSW Savers Bronze HMO H S A 006 - HMO
  • BSW Savers Bronze HMO H S A 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Savers Bronze HMO H S A 009 - HMO
  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO
  • MyBlue Health Bronze? 402 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Tran Ly is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Tran Ly is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3274671938

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20091117000642

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 33 times for 22 patients

Professional service for multiple injections of allergen

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

This service was performed 78 times for 23 patients

Reviews for TRAN HUYEN THI LY MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053520296, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 1 + 0 + 2 + 0 + 2 + 1 + 8 + 24 = 44

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 44 is 50. The difference is the calculated check digit.

50 - 44 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1053520296.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
9101 N CENTRAL EXPY, SUITE 550
DALLAS, TX 75231
Surgery (Plastic and Reconstructive Surgery)
9101 N CENTRAL EXPY, #600
DALLAS, TX 75231
Surgery (Plastic and Reconstructive Surgery)
9101 N CENTRAL EXPY, SUITE 600
DALLAS, TX 75231
Surgery (Plastic and Reconstructive Surgery)
9101 N CENTRAL EXPY, #600
DALLAS, TX 75231
Surgery (Plastic and Reconstructive Surgery)
9101 N CENTRAL EXPY, SUITE 600
DALLAS, TX 75231
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
9101 N CENTRAL EXPY, SUITE 360
DALLAS, TX 75231
Family Medicine
9101 N CENTRAL EXPY, SUITE 300
DALLAS, TX 75231
Obstetrics & Gynecology
9101 N CENTRAL EXPY, SUITE 250
DALLAS, TX 75231
Internal Medicine
9101 N CENTRAL EXPY, SUITE 300
DALLAS, TX 75231
Plastic Surgery
9101 N CENTRAL EXPY, SUITE 600
DALLAS, TX 75231
Internal Medicine
9101 N CENTRAL EXPY, SUITE 300
DALLAS, TX 75231
Internal Medicine
9101 N CENTRAL EXPY, SUITE 300
DALLAS, TX 75231
Pediatrics
9101 N CENTRAL EXPY, SUITE 420
DALLAS, TX 75231
Pediatrics
9101 N CENTRAL EXPY, SUITE 420
DALLAS, TX 75231
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
9101 N CENTRAL EXPY, SUITE 100
DALLAS, TX 75231
Specialist
9101 N CENTRAL EXPY, SUITE 600
DALLAS, TX 75231
Family Medicine
9101 N CENTRAL EXPY, SUITE 300
DALLAS, TX 75231
Surgery (Plastic and Reconstructive Surgery)
9101 N CENTRAL EXPY, SUITE 600
DALLAS, TX 75231
Surgery (Plastic and Reconstructive Surgery)
9101 N CENTRAL EXPY, SUITE 600
DALLAS, TX 75231
Surgery (Plastic and Reconstructive Surgery)
9101 N CENTRAL EXPY, SUITE 600
DALLAS, TX 75231

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053520296, enumerated as an "individual" on May 22, 2007.

The provider is located at 9101 N CENTRAL EXPY SUITE 430 DALLAS, TX 75231 and the phone number is (214) 363-8889.

Allergy & Immunology with taxonomy code 207KA0200X and a focus in Allergy.

The provider might be accepting Accepts: Baylor Scott and White Health Plan and Blue Cross. Please consult your insurance carrier or call the provider to verify.