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

Ly DO, MD

Individual provider Internal Medicine Physician · NPI 1689363954

Ly DO, MD is an Internal Medicine Physician in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in
WI
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

749 University Row Ste 200
Madison, WI 53705-1465
Phone: (608) 263-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 87146-20 (WI)

Record details

NPI number1689363954
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2023
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026
Mailing address749 University Row Ste 200, Madison, WI 53705-1465

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