Individual provider

Katerina Ly, PA-C

Surgical Physician Assistant Medicare enrolled

Katerina Ly, PA-C is a Surgical Physician Assistant in Dallas, TX, registered under NPI 1629958749.

Getting there

The practice address on file is 4925 GREENVILLE AVE STE 1307, ENERGY SQUARE 1, Dallas, TX 75206. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4925 GREENVILLE AVE STE 1307, ENERGY SQUARE 1, Dallas, TX 75206 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
7618454216

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Surgical covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Surgical

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1629958749 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 8, 2025
Last updatedDec 9, 2025
StatusActive
Sole proprietorNo
CredentialPA-C
Practice address 4925 GREENVILLE AVE
STE 1307, ENERGY SQUARE 1
Dallas, TX 75206
(214) 242-1389
Fax (214) 351-8451
This record was updated on Dec 9, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1629958749 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 2 9 9 5 8 7 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 4 9 9 5 7 7 8

Sum = 81 · next multiple of 10 = 90 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1629958749?
NPI 1629958749 is the National Provider Identifier assigned to Katerina Ly, PA-C in Dallas, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Surgical cover?
Definition to come...
How do I contact Katerina Ly, PA-C?
The phone number on file with NPPES is (214) 242-1389, last updated Dec 9, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Katerina Ly, PA-C accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1629958749 a valid number?
Yes. 1629958749 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.