MICHELLE W LY D.O.
NPI 1811161870
Emergency Medicine - Emergency Medical Services in Huntington Beach, CA
About Michelle W Ly D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELLE W LY D.O. (NPI 1811161870) is an individual emergency medical services provider in Huntington Beach, California, licensed in Illinois (0036120302) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michelle W Ly D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Michelle Ly reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Huntington Beach, CA 92647
- Reassigned Medicare billing, California enrollment
- 45 clinicians in this Medicare group
La Palma, CA 90623
- Reassigned Medicare billing, California enrollment
- 62 clinicians in this Medicare group
Fullerton, CA 92833
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Long Beach, CA 90806
- Reassigned Medicare billing, California enrollment
- 75 clinicians in this Medicare group
Long Beach, CA 90806
- Reassigned Medicare billing, California enrollment
- 56 clinicians in this Medicare group
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- 74 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 92647 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
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 Michelle Ly's NPI number?
The NPI number for Michelle Ly is 1811161870. It was assigned to this individual provider in the NPPES registry on April 21, 2008.
Where is Michelle Ly located?
Michelle Ly practices at 17772 Beach Blvd, Huntington Beach, CA 92647. The listed phone number is (714) 843-5011.
What is Michelle Ly's specialty?
The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.
Is Michelle Ly enrolled in Medicare?
Yes. Michelle Ly is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Michelle Ly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Ly reassigns Medicare benefits to 6 organizations: Beach Emergency Medical Associates (Huntington Beach, CA), Orange County Emergency Medical Associates, Inc. (La Palma, CA), Southern California Permanente Medical Group (Fullerton, CA), Columbia Emergency Medical Group Inc (Long Beach, CA), Pacific Coast Emergency Medical Associates, Inc (Long Beach, CA) and 1 more organization, listed in the Medicare section above. Each 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 Michelle 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 Michelle Ly was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Michelle W Ly, D.O. · NPI 1811161870
Emergency Medical Services physician in Huntington Beach, California. Individual provider, active in the CMS NPPES registry since April 21, 2008.
## Identity
- **NPI:** 1811161870 (Entity type: Individual)
- **Enumerated:** April 21, 2008
- **Primary specialty:** Emergency Medicine - Emergency Medical Services · taxonomy 207PE0004X
- **State license:** 0036120302 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 17772 BEACH BLVD, Huntington Beach, CA 92647-6819
- **Phone:** (714) 843-5011
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Beach Emergency Medical Associates (NPI 1013074996, Huntington Beach, CA); Orange County Emergency Medical Associates, Inc. (NPI 1508114711, La Palma, CA); Southern California Permanente Medical Group (NPI 1336556059, Fullerton, CA); Columbia Emergency Medical Group Inc (NPI 1871551119, Long Beach, CA); Pacific Coast Emergency Medical Associates, Inc (NPI 1316179492, Long Beach, CA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 30, 2021
- **Other identifiers:** Other 20A10691 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1811161870) · Data from the CMS NPPES public registry.