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PHUONG KIM LY MD
NPI 1336717453
Obstetrics & Gynecology in Longview, TX

Active since June 15, 2021PECOS EnrolledAccepts Medicare Assignment
802 MEDICAL CIR STE 100, LONGVIEW, TX 75605(903) 757-6042 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2025, Jun 15, 2021 (2 updates tracked since 2021).

About Phuong Kim Ly Md NPPES

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

PHUONG KIM LY MD (NPI 1336717453) is an individual obstetrics & gynecology provider in Longview, Texas, licensed in Texas (V9654) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Longview Regional Medical Center, and is a graduate of University Of Texas Medical Branch At Galveston (2021).

NPPES Registry Identity

NPI1336717453
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NamePHUONG KIM LYCredential: MD
Location Address802 MEDICAL CIR STE 100Longview, TX 75605-5207
Mailing Address802 Medical Cir Ste 100Longview, TX 75605-5207 · (903) 757-6042
Phone(903) 757-6042
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2021
Enumeration DateJune 15, 2021
Last NPPES UpdateOctober 2, 20252 updates tracked since enumeration
NPPES CertifiedOctober 2, 2025
✔ NPI 1336717453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · V9654
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
802 MEDICAL CIR STE 100, Longview, TX 75605
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Phuong Kim 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.

PECOS PAC ID5294136404
PECOS Enrollment IDI20250909002581
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Longview Regional Medical Center

Acute Care Hospitals · Longview, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450702
Location2901 N Fourth StLongview, TX 75605 · Gregg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75605 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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 Phuong Ly's NPI number?

The NPI number for Phuong Ly is 1336717453. It was assigned to this individual provider in the NPPES registry on June 15, 2021.

Where is Phuong Ly located?

Phuong Ly practices at 802 Medical Cir Ste 100, Longview, TX 75605. The listed phone number is (903) 757-6042.

What is Phuong Ly's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Phuong Ly enrolled in Medicare?

Yes. Phuong 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 Phuong Ly accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Phuong 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 Phuong Ly affiliated with any hospitals?

According to CMS data, Phuong Ly is affiliated with Longview Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Phuong Ly was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.