Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TRUNG QUOC LY DO
NPI 1104561950
Family Medicine in Tucson, AZ

Q: What is Trung Ly's NPI number?

The NPI number for Trung Ly is 1104561950. It was assigned to this individual provider in the NPPES registry on May 4, 2022.

Q: What is Trung Ly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Trung Ly was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.

Active since May 04, 2022PECOS Enrolled

1625 N CAMPBELL AVE, TUCSON, AZ 85719(520) 694-0111 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2023, May 4, 2022 (2 updates tracked since 2022).

On this page

About Dr. Trung Quoc Ly Do NPPES

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

DR. TRUNG QUOC LY DO (NPI 1104561950) is an individual family medicine provider in Tucson, Arizona, licensed in Texas (BP10084406) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Galveston.

NPPES Registry Identity

NPI1104561950

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. TRUNG QUOC LYCredential: DO

Location Address1625 N CAMPBELL AVETucson, AZ 85719-4330

Mailing Address1625 N Campbell AveTucson, AZ 85719-4330 · (520) 694-0111

Phone(520) 694-0111

Sole ProprietorYes

Enumeration DateMay 4, 2022

Last NPPES UpdateJune 12, 20262 updates tracked since enumeration

NPPES CertifiedJune 12, 2026

✔ NPI 1104561950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · BP10084406

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1625 N CAMPBELL AVE, Tucson, AZ 85719

Open in Google Maps ↗

Secondary Practice Location 1

Location 1301 University BlvdGalveston, TX 77555-1120 · Phone (409) 772-2166

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. Trung Quoc Ly Do 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 85719 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 20

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

KATELYN DESALVO MD

Pediatrics