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

Dr. Justin Q. Ly, MD

Individual provider Diagnostic Radiology Physician · NPI 1770560542

Dr. Justin Q. Ly, MD is a Diagnostic Radiology in Eden Prairie, Minnesota. Graduated from Uniformed Services Uhs Fe Hebert School of Med in 2000, 26 years ago. Practices with Professional Services of Holy Cross, a 159-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, District of Columbia and New York.

Years since qualifying
26
Trained at
Uniformed Services Uhs Fe Hebert School of Med
Licensed in
CA, DC, NY
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349
Phone: (952) 595-1301
Fax: (612) 294-4903
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)

  • 2041 Georgia Ave Nw # 1r84, Washington, DC 20060-5349 — (202) 865-3610

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A90777 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 244268 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD210002606 (DC)

Record details

NPI number1770560542
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 22, 2005
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated 2000 (26 years in practice)
Group practice Professional Services Of Holy Cross — 159 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Eden Prairie