Individual provider Active NPI

Andrew Duy Ly, MD

  • Neurology Physician
  • Newport Beach, CA
National Provider Identifier
1801093554
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A88872 Issued in CA
Practice address
1 Hoag Dr
Neurosciences
Newport Beach, CA 92663-4162
Phone
(949) 764-1820
Fax
(949) 764-1428
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A88872 CA Primary

Addresses

Primary practice location

1 Hoag Dr
Neurosciences
Newport Beach, CA 92663-4162

Mailing address

1 Hoag Dr
Neurosciences
Newport Beach, CA 92663-4162
Phone (949) 764-1820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20081010000567 CA Practitioner - Neurology 5698843100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newport Neurohospitalist Medical Group, IncGroup PAC ID 9335195148, 7 clinicians

Practice addresses (Care Compare)

520 Superior Ave
Suite 205
Newport Beach, CA 92663-3667
Phone (949) 764-1454

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
96.86 of 100Reported as individual
Quality
87.91
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88872CAMDClinical Social Worker
A88872CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Neurohospitalists CurrentSince Aug 1, 2008 Accepting new patients
Newport Neurohospitalist Medical Group, Inc Neurology Current Accepting new patients

Locations

16405 Sand Canyon Ave
Ste 220
Irvine, CA 92618
Phone (949) 336-8150

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

520 Superior Ave
Ste 205
Newport Beach, CA 92663
Phone (949) 650-2462

Interoperability endpoints

  • Direct secure messaging: andrew.ly.p46@direct.newportmed.nextgenshare.com
  • Direct secure messaging: andrew.ly.p1@direct.newportmed.nextgenshare.com

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 1

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1801093554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOAG DR",
            "address_2": "NEUROSCIENCES",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634162",
            "telephone_number": "949-764-1820",
            "fax_number": "949-764-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOAG DR",
            "address_2": "NEUROSCIENCES",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634162",
            "telephone_number": "949-764-1820",
            "fax_number": "949-764-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "ANDREW",
        "middle_name": "DUY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A88872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.