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JASON LY DO
NPI 1649920265
Pediatrics - Pediatric Emergency Medicine in Charlotte, NC

Active since March 26, 2022PECOS Enrolled
1000 BLYTHE BLVD FL 4, CHARLOTTE, NC 28203(704) 381-6800 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 19, 2026, May 5, 2025 (2 updates tracked since 2025).

About Jason Ly Do NPPES

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

JASON LY DO (NPI 1649920265) is an individual pediatric emergency medicine provider in Charlotte, North Carolina, licensed in North Carolina (2026-01173) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Norfolk, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1649920265
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameJASON LYCredential: DO
Location Address1000 BLYTHE BLVD FL 4Charlotte, NC 28203-5812
Mailing Address1000 Blythe Blvd Fl 4Charlotte, NC 28203-5812 · (704) 381-6800
Phone(704) 381-6800
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 26, 2022
Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
✔ NPI 1649920265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Licenses✔ Licensed in NC · 2026-01173✔ Licensed in VA · 0102209178
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 0102209178 (VA)
1000 BLYTHE BLVD FL 4, Charlotte, NC 28203
Open in Google Maps ↗

Secondary Practice Location 1

Location 1601 Childrens LnNorfolk, VA 23507-1910 · Phone (757) 668-7249

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Ly Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456840388
PECOS Enrollment IDI20251030001804
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

2

Medicare enrollment records show Jason Ly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolinas Medical Center
Same address
General Acute Care Hospital
1000 BLYTHE BLVD
Charlotte, NC 28203
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
NPI 1295789907 (704) 355-2000
Childrens Specialty Group PLLC
279 mi
Pediatrics
601 CHILDRENS LN
Norfolk, VA 23507
  • Reassigned Medicare billing, Virginia enrollment
  • 549 clinicians in this Medicare group
NPI 1255354130 (757) 668-7007

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

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.

ZAHRA MOHSENI
Student in an Organized Health Care Education/Training Program
1000 BLYTHE BLVD FL 4
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-6800
AMANDA KELSEY LUDWIG
Student in an Organized Health Care Education/Training Program
1000 BLYTHE BLVD FL 4
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-6800
LAKSHMI MEENAKSHI IMMANENI DO
Student in an Organized Health Care Education/Training Program
1000 BLYTHE BLVD FL 4
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-6800
KELSEY COLLENE CHATMAN
Pediatrics
1000 BLYTHE BLVD FL 4
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-6800
DR. JAMES DWAYNE DOLLAR M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1000 BLYTHE BLVD FL 4
CHARLOTTE, NC 28203
Mecklenburg County (704) 973-5500
SHARON ESHET
Pediatrics
1000 BLYTHE BLVD FL 4
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-6800
LAURA ERIN MAY
Student in an Organized Health Care Education/Training Program
1000 BLYTHE BLVD FL 4
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-6800
ALYSSA NICOLE BELFORD MD
Student in an Organized Health Care Education/Training Program
1000 BLYTHE BLVD FL 4
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-6800

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 Jason Ly's NPI number?

The NPI number for Jason Ly is 1649920265. It was assigned to this individual provider in the NPPES registry on March 26, 2022.

Where is Jason Ly located?

Jason Ly practices at 1000 Blythe Blvd Fl 4, Charlotte, NC 28203. The listed phone number is (704) 381-6800.

What is Jason Ly's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Jason Ly enrolled in Medicare?

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

Which organizations bill Medicare for Jason Ly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Ly reassigns Medicare benefits to 2 organizations: Carolinas Medical Center (Charlotte, NC) and Childrens Specialty Group PLLC (Norfolk, VA). Each 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 Jason 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 Jason Ly was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.