MICHAEL LY DMD, MPH
NPI 1245076413
Dentist in Seattle, WA

Q: What is Michael Ly's NPI number?

The NPI number for Michael Ly is 1245076413. It was assigned to this individual provider in the NPPES registry on July 8, 2024.

Q: What is Michael Ly's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Ly was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 July 08, 2024PECOS Enrolled

1660 S COLUMBIAN WAY, SEATTLE, WA 98108(206) 764-2324 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 30, 2025, Jul 8, 2024 (2 updates tracked since 2024).

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About Michael Ly Dmd, Mph NPPES

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

MICHAEL LY DMD, MPH (NPI 1245076413) is an individual dentist in Seattle, Washington, licensed in Washington (DE61675815) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245076413

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameMICHAEL LYCredential: DMD, MPH

Location Address1660 S COLUMBIAN WAYSeattle, WA 98108-1532

Mailing Address1660 S Columbian WaySeattle, WA 98108-1532

Phone(206) 764-2324

Sole ProprietorYes

Enumeration DateJuly 8, 2024

Last NPPES UpdateMay 30, 20252 updates tracked since enumeration

NPPES CertifiedMay 30, 2025

✔ NPI 1245076413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · DE61675815

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1660 S COLUMBIAN WAY, Seattle, WA 98108

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Ly Dmd, Mph 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 98108 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

Most-billed visit code 99213

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.

DR. SARAH BASTAWROUS DO

Radiology (Diagnostic Radiology)

1660 S COLUMBIAN WAY, DIAGNOSTIC IMAGING, S-RAD-114
SEATTLE, WA 98108

King County (312) 450-5258

PATRICK PATTERSON LPN

Licensed Practical Nurse