Lucky Ly, DO
NPI 1639739113 · Psychiatry Physician · Philadelphia, PA
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lucky Ly, DO is a Psychiatry Physician provider in Philadelphia, PA (NPI 1639739113).
Provider details
- NPI number
- 1639739113
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- OT019118 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
7 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$18 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 109 W 27th St Rm 5sNew York, NY 10001-6208Phone: (833) 351-8255
Registry dates
- Enumerated
- 2019-06-18
- Last updated
- 2025-06-24
- Certified
- 2025-06-24
Frequently asked questions
- What is Lucky Ly's NPI number?
- Lucky Ly's National Provider Identifier (NPI) is 1639739113, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lucky Ly's specialty?
- Lucky Ly is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Lucky Ly located?
- Lucky Ly's practice location on file with NPPES is 2418 E York St, Philadelphia, PA 19125-3006.
- What is Lucky Ly's phone number?
- The practice phone number listed in the NPPES registry for Lucky Ly is (833) 351-8255.
- Does Lucky Ly accept Medicare?
- Lucky Ly is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lucky Ly's NPI active?
- Yes — Lucky Ly's NPI (1639739113) is active in the NPPES registry as of the last update on 2025-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.