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

Individual provider Physician Assistant · NPI 1356962211

Tracey Ly, PA-C is a Physician Assistant in Norfolk, Virginia. Qualified in 2020, 6 years ago. Practices with Medical Center Radiologists Inc, a 123-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in California, New York and Virginia.

Years since qualifying
6
Licensed in
CA, NY, VA
In the registry since
2020
Specialties on file
3
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

600 Gresham Dr Ste 700
Norfolk, VA 23507-1904
Phone: (757) 388-1700
Fax: (423) 826-1290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 415 N Crescent Dr Ste 320, Beverly Hills, CA 90210-6813 — (888) 803-3370
  • 333 1st St Ste A, San Francisco, CA 94105-2661 — (888) 803-3370
  • 65 W 36th St Fl 11, New York, NY 10018-7936 — (888) 803-3370
  • 2800 Eisenhower Ave Ste 220, Alexandria, VA 22314-4587 — (888) 803-3370

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110009247 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 58446 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 031055 (NY)

Record details

NPI number1356962211
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 1, 2020
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing address6275 E Virginia Beach Blvd Ste 300, Norfolk, VA 23502-2851

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 Medical Center Radiologists Inc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Norfolk