Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Chheng Ly

Individual provider Physician Assistant · NPI 1235738204

Chheng Ly is a Physician Assistant in Bradenton, Florida. Qualified in 2020, 6 years ago. Practices with H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc, a 1,135-clinician group and works from 2 locations. Licensed in California and Florida.

Years since qualifying
6
Licensed in
CA, FL
In the registry since
2020
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5309 E State Road 64
Bradenton, FL 34208-5534
Phone: (941) 747-9818
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1901 Floyd St, Sarasota, FL 34239-2932 — (941) 366-9222

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9115734 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 58645 (CA)

Record details

NPI number1235738204
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 21, 2020
Last updated in NPPESJanuary 20, 2023
Certification dateJanuary 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc — 1135 clinicians
Accepts Medicare assignment Not indicated

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients314
Services billed 694 a service is one billed item, such as a visit, a test or a procedure
Average patient age77

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Affiliated with 1 hospital, which CMS identifies by certification number only.

Colleagues at H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1135 clinicians in the practice; 12 are shown here.

Other providers in Bradenton