Individual provider Active NPI

Huy C Ly, M.D.

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1003067547
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46089 Issued in CO
Practice address
601 W 11TH Ave Apt 517
Denver, CO 80204
Phone
(720) 841-6706
NPI assigned
Oct 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 46089 CO Primary

Addresses

Primary practice location

601 W 11TH Ave Apt 517
Denver, CO 80204

Mailing address

10350 E Dakota Ave
Denver, CO 80247-1314
Phone (303) 338-3382

Other practice location 1

10350 E Dakota Ave
Denver, CO 80247-1314
Phone (303) 338-4545

Other identifiers 2

IdentifierTypeStateIssuer
38383586MedicaidCO
028887OtherCOKAISER COMMERCIAL NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090413000500 CO Practitioner - Family Practice 1355498114 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uptown Community Health Center IncGroup PAC ID 4183090152, 31 clinicians

Practice addresses (Care Compare)

1960 N Ogden St
460 Bruner Family Medicine
Denver, CO 80218-3670
Phone (303) 318-2500

Hospital & facility affiliations

  • Saint Joseph Hospital Hospital, Denver, CO, CCN 060028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Platte Valley Medical Group, LLC Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
Intermountain Medical Group Denver, LLC Family Medicine CurrentSince Jan 1, 2015 Accepting new patients
Intermountain Front Range, Inc. Current Accepting new patients
Intermountain Front Range, Inc. Family Medicine CurrentSince Mar 30, 2009 Accepting new patients
Uptown Community Health Center Inc CurrentSince Nov 15, 2022 Accepting new patients
Colorado Permanente Medical Group, P.C. CurrentSince May 14, 2018 Accepting new patients
Intermountain Medical Group Denver, LLC Family Medicine Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jan 1, 2015 Accepting new patients
Intermountain Front Range, Inc. CurrentSince Mar 30, 2009 Accepting new patients
Uptown Community Health Center Inc Family Medicine Current Accepting new patients
Uptown Community Health Center Inc CurrentSince Nov 15, 2022 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Cloud Health Medical Group of New Jersey, P.C. Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Cloud Health Medical Group of California, P.C. Family Medicine Past Accepting new patients
Emerald Medical Practice PC Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 6250
Broomfield, CO 80021
Phone (303) 272-0750

1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000

1960 N Ogden St
Ste 110
Denver, CO 80218
Phone (303) 318-2460

1960 N Ogden St
Ste 330
Denver, CO 80218
Phone (303) 318-2610

10350 E Dakota Ave
Ofc
Denver, CO 80247
Phone (303) 344-7771

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

10350 E Dakota Ave
Denver, CO 80247
Phone (303) 636-3350

1960 N Ogden St
Ste 460
Denver, CO 80218
Phone (303) 318-2500

8350 Wcr 13
Unit 160
Firestone, CO 80504
Phone (303) 689-5160

8350 Colorado Blvd
Unit 1
Firestone, CO 80504
Phone (303) 689-5160

1450 Dexter St
Ste 101
Fort Lupton, CO 80621
Phone (303) 857-2087

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

16570 Washington St
Thornton, CO 80023
Phone (303) 498-1885

3210 Lutheran Pkwy
Wheat Ridge, CO 80033
Phone (303) 425-8000

Interoperability endpoints

  • Direct secure messaging: hly5954@direct.intermountainhealth.org
  • Direct secure messaging: huy.ly.1@30093.direct.athenahealth.com

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1003067547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 E DAKOTA AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802471314",
            "telephone_number": "303-338-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 11TH AVE APT 517",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80204",
            "telephone_number": "720-841-6706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10350 E Dakota Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802471314",
            "country_code": "US",
            "telephone_number": "303-338-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LY",
        "first_name": "HUY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-02",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "46089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38383586",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "028887",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "10350 E Dakota Ave",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802471314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.