JUSTINE B. LY MD
NPI 1073190922
Family Medicine in Salt Lake City, UT
About Justine B. Ly Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTINE B. LY MD (NPI 1073190922) is an individual family medicine provider in Salt Lake City, Utah, licensed in Utah (12984943-1205) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Justine B. Ly Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Intermountain Medical Center
Acute Care Hospitals · Murray, UTIntermountain Health Alta View Hospital
Acute Care Hospitals · Sandy, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84108
SALT LAKE CITY, UT 84108
SALT LAKE CITY, UT 84108
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 Justine Ly's NPI number?
The NPI number for Justine Ly is 1073190922. It was assigned to this individual provider in the NPPES registry on March 26, 2021.
Where is Justine Ly located?
Justine Ly practices at 375 S Chipeta Way Ste A, Salt Lake City, UT 84108. The listed phone number is (801) 587-3411.
What is Justine Ly's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Justine Ly enrolled in Medicare?
Yes. Justine Ly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Justine Ly accept?
Health plans from Select Health list Justine Ly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Justine Ly affiliated with any hospitals?
According to CMS data, Justine Ly is affiliated with Intermountain Medical Center and Intermountain Health Alta View Hospital.
When was this NPI record last updated?
The NPPES record for Justine Ly was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
