KEVIN LY PA
NPI 1396389656
Physician Assistant - Medical in Largo, FL

Active since October 30, 2019PECOS EnrolledAccepts Medicare Assignment
13670 WALSINGHAM RD, LARGO, FL 33774(727) 593-9848 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2023, Feb 24, 2023, Sep 13, 2021 and 2 more (5 updates tracked since 2019).

About Kevin Ly Pa NPPES

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

KEVIN LY PA (NPI 1396389656) is an individual medical provider in Largo, Florida, licensed in Florida (PA9112466) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1396389656
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKEVIN LYCredential: PA
Location Address13670 WALSINGHAM RDLargo, FL 33774-3532
Mailing Address11921 N Dale Mabry HwyTampa, FL 33618-3512 · (813) 609-3635
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 30, 2019
Last NPPES UpdateApril 17, 20235 updates tracked since enumeration
NPPES CertifiedApril 17, 2023
NPI 1396389656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA9112466
13670 WALSINGHAM RD, Largo, FL 33774

Other Identifiers 1

Medicaid115688400FL

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 Pa 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 ID7719319235
PECOS Enrollment IDI20191120003233
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.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
116 services113 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
77 services77 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
62 services31 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
42 services42 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
38 services38 patients

Hospital Affiliations CMS Care Compare 2

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

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.

Nurse Practitioner (Primary Care)
13670 WALSINGHAM RD
LARGO, FL 33774
Family Medicine
13670 WALSINGHAM RD
LARGO, FL 33774
Nurse Practitioner (Family)
13670 WALSINGHAM RD
LARGO, FL 33774
Nurse Practitioner (Family)
13670 WALSINGHAM RD
LARGO, FL 33774
Nurse Practitioner (Family)
13670 WALSINGHAM RD
LARGO, FL 33774
Nurse Practitioner (Family)
13670 WALSINGHAM RD
LARGO, FL 33774
Physician Assistant (Medical)
13670 WALSINGHAM RD
LARGO, FL 33774
Physician Assistant (Medical)
13670 WALSINGHAM RD
LARGO, FL 33774

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 1396389656. It was assigned to this individual provider in the NPPES registry on October 30, 2019.

Where is Kevin Ly located?

Kevin Ly practices at 13670 Walsingham Rd, Largo, FL 33774. The listed phone number is (727) 593-9848.

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.

Is Kevin Ly affiliated with any hospitals?

According to CMS data, Kevin Ly is affiliated with St Josephs Hospital and Morton Plant Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Ly was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.