Dustin N Ly, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME114777 Issued in FL

Practice address

4737 Old Canoe Creek Rd
Saint Cloud, FL 34769-1400

Phone

(407) 705-3222

NPI assigned

May 18, 2007

Last updated

Jan 2, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

General Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

East Lake Medical ClinicGroup PAC ID 8325282924, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mederi Caretenders Home health agency, Kissimmee, FL, CCN 107422
• Orlando Health St Cloud Hospital Hospital, Saint Cloud, FL, CCN 100302
• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dly179004@orlandohealth.medalliesdirect.net
• FHIR API: https://api.platform.athenahealth.com/7278/brand/1/csg/1/fhir/r4

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

• East Lake Medical Clinic

  • Primary Care Clinic/Center
  • Saint Cloud, FL
  • NPI 1790124741
  Medicare reassignment Care Compare group NPD Authorized official
• Orlando Health, Inc.

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1184709057
  NPD
• David P. Calimag MD SC

  • Neurology Physician
  • Park Ridge, IL
  • NPI 1578787537
  NPD (past)
• LX Health Advocate Center LTD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1043223688
  NPD (past)

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

• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando Outreach Laboratory

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation
• LHCG Clvi, LLC

  dba Mederi Caretenders

  • Home Health Agency
  • Kissimmee, FL
  • NPI 1639703218
  Care Compare affiliation
• Osceolasc LLC

  dba St Cloud Regional Medical Center

  • General Acute Care Hospital
  • Saint Cloud, FL
  • NPI 1164478442
  Care Compare affiliation

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1710195268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4737 OLD CANOE CREEK RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347691400",
            "telephone_number": "407-705-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4737 OLD CANOE CREEK RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347691400",
            "telephone_number": "407-705-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "DUSTIN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME114777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Elias Lucha, D.C.
• Adonis Luna
• Tiffany Luong
• Brian C Luther
• Keeleigh Luther
• Kyra Lynch, LMHC
• Ronysha Lynch
• Adonis John Lysandrou, M.D.
• Mourad Maach, MD
• Abed Madanieh, M.D.

• Internal Medicine Physician in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.