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

Q: 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.

Q: What is Jason Ly's specialty?

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

Q: 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 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.

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: August 09, 2026.

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

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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

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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

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

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.

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.

MARYBETH ARCEO BURRISS-WEST

Pediatrics (Pediatric Critical Care Medicine)