SUE CHOI LY
NPI 1730654658
Nurse Practitioner - Adult Health in Fremont, CA
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Sue Ly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Redwood City, CA 94063
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
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 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.
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.
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.
Which organization bills Medicare for Sue Ly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sue Ly reassigns Medicare benefits to Permanente Medical Group Inc (Redwood City, CA). 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 Sue 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 Sue Ly was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Sue Choi Ly · NPI 1730654658
Adult Health physician in Fremont, California. Individual provider, active in the CMS NPPES registry since October 7, 2018.
## Identity
- **NPI:** 1730654658 (Entity type: Individual)
- **Enumerated:** October 7, 2018
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** NP95009820 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 39180 FARWELL DR STE 231, Fremont, CA 94538-1015
- **Phone:** (510) 585-2545
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1639252604, Redwood City, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Francisco School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** January 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1730654658) · Data from the CMS NPPES public registry.