MR. AN V LY (MD) – Anesthesiology Physician, NPI 1992752182
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,371 ANESTHESIOLOGY in CA
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Provider Addresses for MR. AN V LY (MD)
5530, Birdcage Street, Citrus Heights, Sacramento County, California, 95610, United States
STE 145
CITRUS HEIGHTS, CA 95610
Phone: (209) 956-7725
Fax: (209) 956-7733
Type: Mailing
Mercy San Juan Medical Center, 6501, Coyle Avenue, Sacramento County, California, 95608, United States
CARMICHAEL, CA 95608
Phone: (916) 537-5000
Fax: (916) 851-2884
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-09-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040927001169 | I | Anesthesiology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 14 | 14 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 95610)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | CA | 00142 | Anesthesia for lens surgery | 52 | 49 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | CA | |
| A N E S T H E S I O L O G Y | CA | |
| Pain Management | CA | |
| - | TX | |
| A N E S T H E S I O L O G Y | CA | |
| A N E S T H E S I O L O G Y | CA | |
| A N E S T H E S I O L O G Y | CA | |
| - | CA | |
| A N E S T H E S I O L O G Y | CA | |
| A N E S T H E S I O L O G Y | CA |
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