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DR. KENNETH LY D.O.
NPI 1801909056
Family Medicine in Houston, TX

Active since August 15, 2006PECOS Enrolled
11322 BELLAIRE BLVD STE 117, GENERATION MEDICAL CLINIC, HOUSTON, TX 77072(714) 757-6651(281) 879-1809 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2026, Jun 6, 2022, May 9, 2022 (3 updates tracked since 2022).

About Dr. Kenneth Ly D.o. NPPES

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

DR. KENNETH LY D.O. (NPI 1801909056) is an individual family medicine provider in Houston, Texas, licensed in Texas (P0068) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of College Of Osteo Med Of The Pacific At Pomona (1997).

NPPES Registry Identity

NPI1801909056
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KENNETH LYCredential: D.O.
Location Address11322 BELLAIRE BLVD STE 117, GENERATION MEDICAL CLINICHouston, TX 77072
Mailing Address2993 Millicent WayPasadena, CA 91107-4404 · (714) 757-6651
Phone(714) 757-6651
Fax(281) 879-1809
Sole ProprietorNo
Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 1997
Enumeration DateAugust 15, 2006
Last NPPES UpdateMarch 3, 20263 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1801909056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · P0068✔ Licensed in WA · OP00001670
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHealth and Wellness CoachTaxonomy 171400000X
Also ListedFamily Medicine · Adolescent MedicineTaxonomy 207QA0000X · License P0068 (TX)
11322 BELLAIRE BLVD STE 117, Houston, TX 77072
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Other Identifiers 1

Medicaid1124254WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Ly D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325939945
PECOS Enrollment IDI20260520002703
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 77072 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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 2

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

DAVID KHOI DANG DO DO
Family Medicine
11322 BELLAIRE BLVD STE 117
HOUSTON, TX 77072
Harris County (281) 879-1800
DR. STEVEN XUAN NGUYEN MD
Family Medicine
11322 BELLAIRE BLVD STE 117
HOUSTON, TX 77072
Harris County (281) 879-1800

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 Kenneth Ly's NPI number?

The NPI number for Kenneth Ly is 1801909056. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Kenneth Ly located?

Kenneth Ly practices at 11322 Bellaire Blvd Ste 117 Generation Medical Clinic, Houston, TX 77072. The listed phone number is (714) 757-6651.

What is Kenneth Ly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenneth Ly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kenneth Ly was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.