KEVIN LY
NPI 1194359141
Physician Assistant - Medical in Campbell, CA
About Kevin Ly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN LY (NPI 1194359141) is an individual medical provider in Campbell, California and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
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
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 Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CAMPBELL, CA 95008
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 1194359141. It was assigned to this individual provider in the NPPES registry on February 28, 2020.
Where is Kevin Ly located?
Kevin Ly practices at 3425 S Bascom Ave Ste 200, Campbell, CA 95008. The listed phone number is (408) 256-5292.
What is Kevin Ly's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
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.
When was this NPI record last updated?
The NPPES record for Kevin Ly was last updated on February 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 1194359141
Medical physician in Campbell, California. Individual provider, active in the CMS NPPES registry since February 28, 2020.
## Identity
- **NPI:** 1194359141 (Entity type: Individual)
- **Enumerated:** February 28, 2020
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 3425 S BASCOM AVE STE 200, Campbell, CA 95008-7300
- **Phone:** (408) 256-5292
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of California, Davis School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** February 28, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1194359141) · Data from the CMS NPPES public registry.