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DR. KELLY KIM LY MD
NPI 1801914742
Pediatrics - Adolescent Medicine in New York, NY

Active since March 27, 2007PECOS Enrolled
227 MADISON ST, PEDIATRICS DEPT, NEW YORK, NY 10002(212) 238-7260(212) 238-7799 Get Directions Write a Review

NPPES record last updated: July 12, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kelly Kim Ly Md NPPES

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

DR. KELLY KIM LY MD (NPI 1801914742) is an individual adolescent medicine provider in New York, New York, licensed in New York (224534) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801914742
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameDR. KELLY KIM LYCredential: MD
Location Address227 MADISON ST, PEDIATRICS DEPTNew York, NY 10002-7537
Mailing Address227 Madison St, Pediatrics DeptNew York, NY 10002-7537 · (212) 238-7260 · Fax (212) 238-7799
Phone(212) 238-7260
Fax(212) 238-7799
Sole ProprietorYes
Enumeration DateMarch 27, 2007
Last NPPES UpdateJuly 12, 2011
✔ NPI 1801914742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Licenses✔ Licensed in NY · 224534✔ Licensed in NJ · 25MA07959400
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
227 MADISON ST, New York, NY 10002
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Kim Ly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Kelly Ly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York City Health And Hospitals Corporation
Same address
Skilled Nursing Facility
227 MADISON ST, MEDICAL STAFF OFFICE R-1249
New York, NY 10002
  • Reassigned Medicare billing, New York enrollment
  • 1,615 clinicians in this Medicare group
NPI 1497859573 (212) 238-7614

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.

MEREDITH A WRIGHT M.S., CCC-SLP
Speech-Language Pathologist
227 MADISON ST
NEW YORK, NY 10002
New York County (212) 238-5025
DR. PATRICIA PATRICIA NEIL DDS
Dentist
227 MADISON ST, MEDICAL STAFF
NEW YORK, NY 10002
New York County (212) 238-7614
DR. EILEEN MARIE MILES M.D.
Pediatrics
227 MADISON ST
NEW YORK, NY 10002
New York County (212) 238-7614
MS. CONNIE WAH TAM OT
Occupational Therapist
227 MADISON ST, MEDICAL STAFF OFFICE, ROOM 1249
NEW YORK, NY 10002
New York County (212) 238-7614
BENNY RIGOBERTO GUILLERMO NP
Nurse Practitioner
227 MADISON ST
NEW YORK, NY 10002
New York County (212) 238-7680
DR. MIN XU MD
Internal Medicine
227 MADISON ST
NEW YORK, NY 10002
New York County (212) 238-7409
MS. YUEN FAN WONG LCSW
Social Worker (Clinical)
227 MADISON ST
NEW YORK, NY 10002
New York County (212) 238-7897
DR. JAMES AUSTIN SCHMIDTBERGER MD
Internal Medicine
227 MADISON ST
NEW YORK, NY 10002
New York County (212) 238-8176

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 Kelly Ly's NPI number?

The NPI number for Kelly Ly is 1801914742. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Kelly Ly located?

Kelly Ly practices at 227 Madison St Pediatrics Dept, New York, NY 10002. The listed phone number is (212) 238-7260.

What is Kelly Ly's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Kelly Ly enrolled in Medicare?

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

Which organization bills Medicare for Kelly Ly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Ly reassigns Medicare benefits to New York City Health And Hospitals Corporation (New York, NY). 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 Kelly 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 Kelly Ly was last updated on July 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.