SOPHIA LY MD, MPH
NPI 1508645441
Dermatology in Boston, MA

Active since September 28, 2023PECOS Enrolled
800 WASHINGTON ST, BOSTON, MA 02111(617) 636-1359 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 6, 2026, May 27, 2025, Apr 2, 2024 (3 updates tracked since 2024).

About Sophia Ly Md, Mph NPPES

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

SOPHIA LY MD, MPH (NPI 1508645441) is an individual dermatology provider in Boston, Massachusetts, licensed in Massachusetts (3017967) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508645441
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameSOPHIA LYCredential: MD, MPH
Location Address800 WASHINGTON STBoston, MA 02111-1552
Mailing Address260 Tremont StBoston, MA 02116-5603
Sole ProprietorYes
Enumeration DateSeptember 28, 2023
Last NPPES UpdateApril 6, 20263 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
NPI 1508645441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MA · 3017967
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
800 WASHINGTON ST, Boston, MA 02111

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sophia Ly Md, Mph 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02111 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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.

Internal Medicine (Gastroenterology)
800 WASHINGTON ST, BOX 233
BOSTON, MA 02111
Technician/Technologist (Optician)
800 WASHINGTON ST, BOX 450
BOSTON, MA 02111
Plastic Surgery
800 WASHINGTON ST
BOSTON, MA 02111
Internal Medicine
800 WASHINGTON ST
BOSTON, MA 02111
Internal Medicine (Infectious Disease)
800 WASHINGTON ST
BOSTON, MA 02111
Student in an Organized Health Care Education/Training Program
800 WASHINGTON ST
BOSTON, MA 02111
Psychiatry & Neurology (Psychiatry)
800 WASHINGTON ST
BOSTON, MA 02111
Student in an Organized Health Care Education/Training Program
800 WASHINGTON ST
BOSTON, MA 02111

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 Sophia Ly's NPI number?

The NPI number for Sophia Ly is 1508645441. It was assigned to this individual provider in the NPPES registry on September 28, 2023.

Where is Sophia Ly located?

Sophia Ly practices at 800 Washington St, Boston, MA 02111. The listed phone number is (617) 636-1359.

What is Sophia Ly's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Sophia Ly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sophia Ly was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.