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DANIEL VAN LY MD
NPI 1487238515
Pediatrics in Minneapolis, MN

Active since May 05, 2021PECOS Enrolled
2450 RIVERSIDE AVE FL M1361, MINNEAPOLIS, MN 55454(612) 624-4477 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Daniel Van Ly Md NPPES

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

DANIEL VAN LY MD (NPI 1487238515) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (76798) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487238515
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDANIEL VAN LYCredential: MD
Location Address2450 RIVERSIDE AVE FL M1361Minneapolis, MN 55454-1450
Mailing Address2450 Riverside Ave Fl M1361Minneapolis, MN 55454-1450 · (612) 624-4477
Phone(612) 624-4477
Sole ProprietorNo
Enumeration DateMay 5, 2021
Last NPPES UpdateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
✔ NPI 1487238515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 76798
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2450 RIVERSIDE AVE FL M1361, Minneapolis, MN 55454
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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 (PECOS)

Daniel Van Ly Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Daniel Ly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fairview Health Services
Same address
General Acute Care Hospital
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1013994359 (612) 672-6000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SVATAVA MERKLE MD
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE FL M1361
MINNEAPOLIS, MN 55454
Hennepin County (612) 624-4477
BRANDON LEE O'CONNOR MD
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE FL M1361
MINNEAPOLIS, MN 55454
Hennepin County (612) 624-4477
REBECCA BRIANNA BUECHLER WILSON MD
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE FL M1361
MINNEAPOLIS, MN 55454
Hennepin County (612) 624-4477
SEHAR BASHIR MINHAS MD, MHA
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE FL M1361
MINNEAPOLIS, MN 55454
Hennepin County (612) 624-4477
OLUWABANKE RUKIAT ADELE MD
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE FL M1361
MINNEAPOLIS, MN 55454
Hennepin County (612) 624-4477
SOPHIE SAMSON MD
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE FL M1361
MINNEAPOLIS, MN 55454
Hennepin County (612) 624-4477
SYDNEY MARIE VAHLING MD
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE FL M1361
MINNEAPOLIS, MN 55454
Hennepin County (612) 624-4477
JIA ERN ONG
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE FL M1361
MINNEAPOLIS, MN 55454
Hennepin County (612) 624-4477

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 Daniel Ly's NPI number?

The NPI number for Daniel Ly is 1487238515. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Where is Daniel Ly located?

Daniel Ly practices at 2450 Riverside Ave Fl M1361, Minneapolis, MN 55454. The listed phone number is (612) 624-4477.

What is Daniel Ly's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Daniel Ly enrolled in Medicare?

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

Which organization bills Medicare for Daniel Ly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Ly reassigns Medicare benefits to Fairview Health Services (Minneapolis, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Ly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Daniel Ly was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.