Micki N Ly, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

MD 12031 Issued in HI

Practice address

89 Hookele St
Suite 101
Kahului, HI 96732-3513

Phone

(808) 877-6526

Fax

(808) 871-6701

NPI assigned

May 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

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

Specialty

Dermatology

Education

Ohio State University College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drmickily@ly192.powersoftmdsecure.com

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.

• Aloha Dermatology and Laser Center LLC

  • Dermatology Physician
  • Kahului, HI
  • NPI 1467884536
  NPD Authorized official

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1346299435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 HOOKELE ST STE 101",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323532",
            "telephone_number": "808-877-6526",
            "fax_number": "808-865-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 HOOKELE ST",
            "address_2": "SUITE 101",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323513",
            "telephone_number": "808-877-6526",
            "fax_number": "808-871-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "MICKI",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "HI",
            "license": "MD 12031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "508161",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Mae Lucero, CSAC
• Jason Ludington
• Luukia Ruidas, MD LLC
• Luxottica of America Inc.
• Luxottica Retail North America Inc
• Samuel Dwight Lyons, M.D.
• Sora Lyu
• Michelle Rene Mafi, RBT
• Genevieve Esteban Magaoay, RN
• Magna Rehab, LLC

• Procedural Dermatology Physician in Kahului, HI
• Providers in Kahului, HI by specialty
• Procedural Dermatology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.