Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Van Ly, MD

Individual provider Pediatrics Physician · NPI 1487238515

Daniel Van Ly, MD is a Pediatric Medicine in Minneapolis, Minnesota. Graduated from University of Minnesota Medical School in 2021, 5 years ago. Licensed in Minnesota.

Years since qualifying
5
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2450 Riverside Ave Fl M1361
Minneapolis, MN 55454-1450
Phone: (612) 624-4477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 76798 (MN)

Record details

NPI number1487238515
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 5, 2021
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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