KEVIN LY
NPI 1073394201
Counselor - Professional in Oklahoma City, OK
About Kevin Ly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN LY (NPI 1073394201) is an individual professional provider in Oklahoma City, Oklahoma and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Oklahoma City, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kevin Ly 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.
Medicare Billing Reassignment
Medicare enrollment records show Kevin Ly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oklahoma City, OK 73105
- Reassigned Medicare billing, Oklahoma enrollment
- 201 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
OKLAHOMA CITY, OK 73105
OKLAHOMA CITY, OK 73105
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 Kevin Ly's NPI number?
The NPI number for Kevin Ly is 1073394201. It was assigned to this individual provider in the NPPES registry on October 12, 2023.
Where is Kevin Ly located?
Kevin Ly practices at 4400 N Lincoln Blvd, Oklahoma City, OK 73105. The listed phone number is (405) 424-7711.
What is Kevin Ly's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kevin Ly enrolled in Medicare?
Yes. Kevin 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.
Which organization bills Medicare for Kevin Ly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Ly reassigns Medicare benefits to Oklahoma Mental Health Council (Oklahoma City, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Ly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kevin Ly accept?
Health plans from Blue Cross and Blue Shield of Oklahoma and Oscar Insurance Company list Kevin 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.
When was this NPI record last updated?
The NPPES record for Kevin Ly was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kevin Ly · NPI 1073394201
Professional provider in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since October 12, 2023.
## Identity
- **NPI:** 1073394201 (Entity type: Individual)
- **Enumerated:** October 12, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** No
## Practice location
- **Address:** 4400 N LINCOLN BLVD, Oklahoma City, OK 73105-5104
- **Phone:** (405) 424-7711
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Oklahoma Mental Health Council (NPI 1275574907, Oklahoma City, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1073394201) · Data from the CMS NPPES public registry.