DR. KEVIN SOMITHELA LY M.D.
NPI 1982874301
Anesthesiology in Elk Grove, CA

Active since March 03, 2008PECOS EnrolledAccepts Medicare Assignment
8827 MONTEREY OAKS DR., ELK GROVE, CA 95758(916) 743-7444 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Kevin Somithela Ly M.d. NPPES

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

DR. KEVIN SOMITHELA LY M.D. (NPI 1982874301) is an individual anesthesiology provider in Elk Grove, California, licensed in California (A97342) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1982874301
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. KEVIN SOMITHELA LYCredential: M.D.
Location Address8827 MONTEREY OAKS DR.Elk Grove, CA 95758
Mailing Address8827 Monterey Oaks Dr.Elk Grove, CA 95758 · (916) 743-7444
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 3, 2008
Last NPPES UpdateFebruary 4, 2022
✔ NPI 1982874301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · A97342
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
8827 MONTEREY OAKS DR., Elk Grove, CA 95758

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

Dr. Kevin Somithela Ly M.d. 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 ID5294883377
PECOS Enrollment IDI20090429000254
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 Kevin Ly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • 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.

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 Kevin Ly's NPI number?

The NPI number for Kevin Ly is 1982874301. It was assigned to this individual provider in the NPPES registry on March 3, 2008.

Where is Kevin Ly located?

Kevin Ly practices at 8827 Monterey Oaks Dr., Elk Grove, CA 95758. The listed phone number is (916) 743-7444.

What is Kevin Ly's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Kevin Ly enrolled in Medicare?

Yes. Kevin 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 Kevin Ly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Ly reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, 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 Kevin 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 Kevin Ly was last updated on February 4, 2022. 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.