Active NPI
Huy Thanhtuan Ly, MD
- Internal Medicine Physician
- Las Vegas, NV
National Provider Identifier
1679547525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 11113
- Practice address
- 5400 S Rainbow Blvd
Las Vegas, NV 89118-1859 - Phone
- (702) 305-2408
- Fax
- (702) 853-3245
- NPI assigned
- Feb 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 11113 | NV | Primary |
Addresses
Primary practice location
5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Mailing address
5400 S Rainbow Blvd
Sound Physicians
Las Vegas, NV 89128
Phone (702) 305-2408
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100504231 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1679547525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 S RAINBOW BLVD",
"address_2": "SOUND PHYSICIANS",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89128",
"telephone_number": "702-305-2408",
"fax_number": "702-853-3245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 S RAINBOW BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891181859",
"telephone_number": "702-305-2408",
"fax_number": "702-853-3245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "HUY",
"middle_name": "THANHTUAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "11113",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100504231",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.