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

Katerina Ly, PA-C

Individual provider Surgical Physician Assistant · NPI 1629958749

Katerina Ly, PA-C is a Physician Assistant in Dallas, Texas. Qualified in 2025, 1 year ago. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4925 Greenville Ave Ste 1307 Energy Square 1
Dallas, TX 75206
Phone: (214) 242-1389
Fax: (214) 351-8451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X (TX)

Record details

NPI number1629958749
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 8, 2025
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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