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PHUONG LY
NPI 1922696129
Physician Assistant in Orlando, FL

Active since January 04, 2021PECOS EnrolledAccepts Medicare Assignment
1717 S ORANGE AVE STE 103, ORLANDO, FL 32806(321) 841-3444(321) 843-1753 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2023, Jan 4, 2021 (2 updates tracked since 2021).

About Phuong Ly NPPES

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

PHUONG LY (NPI 1922696129) is an individual physician assistant in Orlando, Florida, licensed in Florida (PA9116750) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1922696129
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePHUONG LY
Location Address1717 S ORANGE AVE STE 103Orlando, FL 32806-2946
Mailing Address1717 S Orange Ave Ste 103Orlando, FL 32806-2946 · (321) 841-3444 · Fax (321) 843-1753
Phone(321) 841-3444
Fax(321) 843-1753
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 4, 2021
Last NPPES UpdateOctober 29, 20242 updates tracked since enumeration
NPPES CertifiedOctober 29, 2024
✔ NPI 1922696129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9116750
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1717 S ORANGE AVE STE 103, Orlando, FL 32806
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Other Identifiers 1

Medicaid116898800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Phuong 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 ID5991178402
PECOS Enrollment IDI20230303001523
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Orlando Health-Health Central Hospital

Acute Care Hospitals · Ocoee, FL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number100030
Location10000 W Colonial DrOcoee, FL 34761 · Orange County
Emergency services

Orlando Health South Lake Hospital

Acute Care Hospitals · Clermont, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100051
Location1900 Don Wickham DrClermont, FL 34711 · Lake County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32806 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 14

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

DR. ARVIND RANGARAJAN MURALI MD
Internal Medicine (Hepatology)
1717 S ORANGE AVE STE 103
ORLANDO, FL 32806
Orange County (321) 841-4344
SAURABH AGRAWAL MD
Internal Medicine (Hepatology)
1717 S ORANGE AVE STE 103
ORLANDO, FL 32806
Orange County (321) 841-4344
STEPHANIE QUACH
Nurse Practitioner (Adult Health)
1717 S ORANGE AVE STE 103
ORLANDO, FL 32806
Orange County (321) 841-4344
VINAYAK SHENOY DO
Internal Medicine (Gastroenterology)
1717 S ORANGE AVE STE 103
ORLANDO, FL 32806
Orange County (321) 841-4344
DR. LORENC KALAVESHI D.O.
Internal Medicine (Gastroenterology)
1717 S ORANGE AVE STE 103
ORLANDO, FL 32806
Orange County (321) 841-4344
JESSICA CHOI
Nurse Practitioner (Adult Health)
1717 S ORANGE AVE STE 103
ORLANDO, FL 32806
Orange County (321) 842-2273
SHELBIE MANNA
Nurse Practitioner (Adult Health)
1717 S ORANGE AVE STE 103
ORLANDO, FL 32806
Orange County (321) 841-4344
NICOLE BRIANA JOHNSON APRN
Nurse Practitioner (Adult Health)
1717 S ORANGE AVE STE 103
ORLANDO, FL 32806
Orange County (321) 841-4344

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 Phuong Ly's NPI number?

The NPI number for Phuong Ly is 1922696129. It was assigned to this individual provider in the NPPES registry on January 4, 2021.

Where is Phuong Ly located?

Phuong Ly practices at 1717 S Orange Ave Ste 103, Orlando, FL 32806. The listed phone number is (321) 841-3444.

What is Phuong Ly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Phuong Ly enrolled in Medicare?

Yes. Phuong 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.

What insurance does Phuong Ly accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 1 other insurer list Phuong Ly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Phuong Ly affiliated with any hospitals?

According to CMS data, Phuong Ly is affiliated with Orlando Health, Orlando Health-Health Central Hospital and Orlando Health South Lake Hospital.

When was this NPI record last updated?

The NPPES record for Phuong Ly was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.