1. Home
  2. Directory
  3. California
  4. Fremont
  5. Nurse Practitioner
  6. NPI Profile

SUE CHOI LY
NPI 1730654658
Nurse Practitioner - Adult Health in Fremont, CA

Active since October 07, 2018PECOS EnrolledAccepts Medicare Assignment
39180 FARWELL DR STE 231, FREMONT, CA 94538(510) 585-2545 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 23, 2023, Mar 18, 2019, Oct 7, 2018 (3 updates tracked since 2018).

About Sue Choi Ly NPPES

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

SUE CHOI LY (NPI 1730654658) is an individual adult health provider in Fremont, California, licensed in California (NP95009820) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (2018).

NPPES Registry Identity

NPI1730654658
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSUE CHOI LY
Location Address39180 FARWELL DR STE 231Fremont, CA 94538-1015
Mailing Address39180 Farwell Dr Ste 231Fremont, CA 94538-1015 · (510) 585-2545
Phone(510) 585-2545
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2018
Enumeration DateOctober 7, 2018
Last NPPES UpdateJanuary 23, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2023
✔ NPI 1730654658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · NP95009820
Also ListedRegistered NurseTaxonomy 163W00000X · License RN685575 (CA)
39180 FARWELL DR STE 231, Fremont, CA 94538
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sue Choi Ly is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113268269
PECOS Enrollment IDI20190418000216
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 94538 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 3

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

BASIL R. BESH, M.D., INC
Clinic/Center (Multi-Specialty)
39180 FARWELL DR STE 231
FREMONT, CA 94538
Alameda County (510) 585-2545
DR. JOSHUA MARK MATTHEWS MD
Orthopaedic Surgery
39180 FARWELL DR STE 231
FREMONT, CA 94538
Alameda County (510) 585-2545
JESSICA MONTEROLA OTR/L
Occupational Therapist
39180 FARWELL DR STE 231
FREMONT, CA 94538
Alameda County (510) 281-2703

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 Sue Ly's NPI number?

The NPI number for Sue Ly is 1730654658. It was assigned to this individual provider in the NPPES registry on October 7, 2018.

Where is Sue Ly located?

Sue Ly practices at 39180 Farwell Dr Ste 231, Fremont, CA 94538. The listed phone number is (510) 585-2545.

What is Sue Ly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Sue Ly enrolled in Medicare?

Yes. Sue Ly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sue Ly was last updated on January 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.