DR. JOHNATHAN LY M.D.
NPI 1396123717
Emergency Medicine in Flushing, NY

Q: What is Johnathan Ly's NPI number?

The NPI number for Johnathan Ly is 1396123717. It was assigned to this individual provider in the NPPES registry on May 18, 2015.

Q: What is Johnathan Ly's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Johnathan Ly was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 18, 2015PECOS EnrolledAccepts Medicare Assignment

5645 MAIN ST, EMERGENCY DEPARTMENT, FLUSHING, NY 11355(718) 670-1100 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 29, 2019, Jul 3, 2016 (2 updates tracked since 2016).

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About Dr. Johnathan Ly M.d. NPPES

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

DR. JOHNATHAN LY M.D. (NPI 1396123717) is an individual emergency medicine provider in Flushing, New York, licensed in New York (292237) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (2015).

NPPES Registry Identity

NPI1396123717

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. JOHNATHAN LYCredential: M.D.

Location Address5645 MAIN ST, EMERGENCY DEPARTMENTFlushing, NY 11355

Mailing Address50 Saratoga AveSanta Clara, CA 95051-7387

Phone(718) 670-1100

Sole ProprietorYes

Medical School CMSNew York Medical CollegeGraduated 2015

Enumeration DateMay 18, 2015

Last NPPES UpdateAugust 29, 20192 updates tracked since enumeration

✔ NPI 1396123717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NY · 292237

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

5645 MAIN ST, Flushing, NY 11355

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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

Dr. Johnathan Ly M.d. 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 ID3274898242

PECOS Enrollment IDI20190916003273

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.

Medicare Billing Reassignments

Medicare enrollment records show Johnathan Ly reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Island Emergency Medical Services, P.C.

11 mi

Emergency Medicine

327 BEACH 19TH ST
Far Rockaway, NY 11691

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Island Emergency Medical Services PC
290 clinicians in this Medicare group

NPI 1639160385 (844) 474-4019

County Of Santa Clara

2,555 mi

Federally Qualified Health Center (FQHC)

7475 CAMINO ARROYO
Gilroy, CA 95020

Reassigned Medicare billing, California enrollment
2,460 clinicians in this Medicare group

NPI 1922093533 (408) 885-5000

Emergency Physicians Associates Fremont PC

2,563 mi

Emergency Medicine

2000 MOWRY AVE
Fremont, CA 94538

Reassigned Medicare billing, California enrollment
103 clinicians in this Medicare group

NPI 1790250967 (510) 797-1111

Emergency Physicians Associates San Jose PC

2,567 mi

Emergency Medicine

2105 FOREST AVE
San Jose, CA 95128

Reassigned Medicare billing, California enrollment
197 clinicians in this Medicare group

NPI 1306311576 (408) 947-2500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

279 services269 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

227 services209 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

142 services139 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

77 services74 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

38 services37 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11355 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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.

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