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DR. PETER N. LY DPM
NPI 1447254396
Podiatrist - Foot Surgery in Peoria, IL

Active since June 09, 2005PECOS Enrolled
7717 N. ORANGE PRAIRIE ROAD, PEORIA, IL 61615(619) 518-1506(309) 589-6994 Get Directions Write a Review

NPPES record last updated: March 27, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Peter N. Ly Dpm NPPES

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

DR. PETER N. LY DPM (NPI 1447254396) is an individual foot surgery provider in Peoria, Illinois, licensed in California (E3804) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447254396
Entity TypeIndividualMale
Primary Taxonomy213ES0131X
Provider Legal NameDR. PETER N. LYCredential: DPM
Location Address7717 N. ORANGE PRAIRIE ROADPeoria, IL 61615
Mailing Address7717 N. Orange Prairie RoadPeoria, IL 61615 · (619) 518-1506 · Fax (309) 589-6994
Phone(619) 518-1506
Fax(309) 589-6994
Sole ProprietorNo
Enumeration DateJune 9, 2005
Last NPPES UpdateMarch 27, 2013
✔ NPI 1447254396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in CA · E3804
7717 N. ORANGE PRAIRIE ROAD, Peoria, IL 61615
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Other Identifiers 3

Medicare UPINU34546CA
Medicare ID-Type UnspecifiedE3804CA · Medicare #
Medicaid000E38040CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Peter N. Ly Dpm 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.

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 Peter Ly's NPI number?

The NPI number for Peter Ly is 1447254396. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Peter Ly located?

Peter Ly practices at 7717 N. Orange Prairie Road, Peoria, IL 61615. The listed phone number is (619) 518-1506.

What is Peter Ly's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Peter Ly enrolled in Medicare?

Yes. Peter Ly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Ly was last updated on March 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.