Individual provider Active NPI

Andrew T Ly, DO

  • Anatomic Pathology & Clinical Pathology Physician
  • Olathe, KS
National Provider Identifier
1619472255
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
05-45588 Issued in KS
Practice address
20333 W 151St St
Olathe, KS 66061-5350
Phone
(913) 588-1227
NPI assigned
Mar 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X 05-45588 KS
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 05-45588 KS Primary

Addresses

Primary practice location

20333 W 151St St
Olathe, KS 66061-5350

Mailing address

20333 W 151St St
Olathe, KS 66061-5350

Other practice location 1

7800 W 110th St
Overland Park, KS 66210-2304
Phone (913) 339-0339

Other practice location 2

4000 Cambridge St
Kansas City, KS 66160-8500
Phone (913) 588-1227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20251129000405 KS Practitioner - Pathology 2668720939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Kansas Hospital AuthorityGroup PAC ID 9436054798, 243 clinicians

Practice addresses (Care Compare)

20333 W 151St St
Olathe, KS 66061-5350
Phone (913) 588-1227

Hospital & facility affiliations

  • University of Kansas Health System Olathe Hospital Hospital, Olathe, KS, CCN 170049
  • Miami County Medical Center Hospital, Paola, KS, CCN 170109
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-45588KSMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kansas Hospital Authority CurrentSince Dec 1, 2025 Accepting new patients
University of Kansas Hospital Authority CurrentSince Dec 1, 2025 Accepting new patients

Locations

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000

3901 Rainbow Blvd
#3045
Kansas City, KS 66160
Phone (913) 588-1189

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

20333 W 151st St
Olathe, KS 66061
Phone (888) 960-1393

Organizations & group practices 2

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 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": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1619472255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20333 W 151ST ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20333 W 151ST ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615350",
            "telephone_number": "913-588-1227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7800 W 110th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662102304",
            "country_code": "US",
            "telephone_number": "913-339-0339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Cambridge St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661608500",
            "country_code": "US",
            "telephone_number": "913-588-1227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LY",
        "first_name": "ANDREW",
        "middle_name": "T",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "KS",
            "license": "05-45588",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KS",
            "license": "05-45588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.