Individual provider Active NPI

Truc Trung Ly, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • San Antonio, TX
National Provider Identifier
1275667271
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
R1238 Issued in TX
Practice address
8715 Village Dr
Suite 608
San Antonio, TX 78217-5405
Phone
(210) 798-4311
Fax
(210) 798-4318
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R1238 TX
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X R1238 TX Primary

Addresses

Primary practice location

8715 Village Dr
Suite 608
San Antonio, TX 78217-5405

Mailing address

8711 Village Dr
Suite 114
San Antonio, TX 78217-5418
Phone (210) 798-4311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170228000377 TX Practitioner - Thoracic Surgery 7214075704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

8715 Village Dr
San Antonio, TX 78217-5405
Phone (210) 798-4311

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1238TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Feb 1, 2017 Accepting new patients
BHS Physicians Network, Inc CurrentSince Feb 1, 2017 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients
Good Samaritan Hospital Corvallis Past Accepting new patients
Firstcare Medical Foundation Surgery PastSince Sep 1, 2004 Accepting new patients
Saint Joseph Regional Medical Center, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

8711 Village Dr
Ste 114
San Antonio, TX 78217
Phone (210) 297-2244

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

8715 Village Dr
San Antonio, TX 78217
Phone (210) 297-2550

540 Madison Oak Dr
Ste 460
San Antonio, TX 78258
Phone (210) 798-4311

8715 Village Dr
Ste 608
San Antonio, TX 78217
Phone (210) 298-4311

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: truc.ly.1@1438.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1275667271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 VILLAGE DR",
            "address_2": "SUITE 114",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175418",
            "telephone_number": "210-798-4311",
            "fax_number": "210-798-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 VILLAGE DR",
            "address_2": "SUITE 608",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175405",
            "telephone_number": "210-798-4311",
            "fax_number": "210-798-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "TRUC",
        "middle_name": "TRUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "R1238",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "R1238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.