Active NPI
Andrew T Young, MD
- Anesthesiology Physician
- Medford, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD161505
- Practice address
- 1093 Royal CT
Medford, OR 97504-6130 - Phone
- (541) 773-7273
- Fax
- (541) 773-2027
- NPI assigned
- Apr 5, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MD161505 | OR | |
| Anesthesiology Physician | 207L00000X | MD161505 | OR | Primary |
Addresses
Primary practice location
1093 Royal CT
Medford, OR 97504-6130
Mailing address
PO Box 1705
Medford, OR 97501-0132
Phone (541) 944-1052
Other practice location 1
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-7641
Other practice location 2
9205 SW Barnes Rd
Portland, OR 97225-6603
Phone (503) 216-3194
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500654440 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Ohio State University College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9205 SW Barnes Rd
Portland, OR 97225-6603
Phone (503) 216-1234
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD161505 | OR | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asante Physician Partners | Pulmonary Disease | Current | Accepting new patients |
| Providence Health & Services - Oregon | Anesthesiology | Current | Accepting new patients |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Asante | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Anesthesiology | Current | Accepting new patients |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Anesthesiology | Current | Accepting new patients |
| Asante | Current | Accepting new patients | |
| Anesthesia Associates of Medford PC | Anesthesiology | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Washington - TCS | Anesthesiology | Current | Accepting new patients |
| Vibra Physicians LLC | Current | Accepting new patients | |
| Active Health Chiropractic, PC | Past | Accepting new patients |
Locations
658 N Main St
Ashland, OR 97520
Phone (541) 324-2813
625 SW Ramsey Ave
Ste A
Grants Pass, OR 97527
Phone (541) 474-5004
1698 E McAndrews Rd
Ste 400
Medford, OR 97504
Phone (541) 732-6000
842 E Main St
Medford, OR 97504
Phone (541) 773-7273
2798 E Barnett Rd
Medford, OR 97504
Phone (541) 858-8100
1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250
1093 Royal Ct
Medford, OR 97504
Phone (541) 622-8500
1170 Royal Ave
Medford, OR 97504
Phone (541) 512-4771
2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
10300 NE Hancock St
Portland, OR 97220
Phone (503) 257-5500
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Portland, OR
- NPI 1649816380
-
dba Providence Medical Group
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- Anesthesiology Physician
- Medford, OR
- NPI 1073543963
-
dba Asante Rogue Regional Medical Center
- General Acute Care Hospital
- Medford, OR
- NPI 1770587107
-
dba Providence Medford Medical Center
- Clinic/Center
- Medford, OR
- NPI 1093976243
-
dba Providence St Vincent Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
Anesthesiology
-
dba Providence Medical Group
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1124458914
-
dba Providence Medford Medical Center
- Clinical Pathology Physician
- Medford, OR
- NPI 1285185942
Anesthesiology
-
dba Prov St. Vincent Medical Ctr
- Clinical Pathology Physician
- Portland, OR
- NPI 1831641745
Anesthesiology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence St Vincent Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1013273804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1705",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975010132",
"telephone_number": "541-944-1052",
"fax_number": "541-773-7273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1093 ROYAL CT",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975046130",
"telephone_number": "541-773-7273",
"fax_number": "541-773-2027"
}
],
"practiceLocations": [
{
"address_1": "3181 SW Sam Jackson Park Rd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972393011",
"country_code": "US",
"telephone_number": "503-494-7641",
"fax_number": "503-494-4661",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9205 SW Barnes Rd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972256603",
"country_code": "US",
"telephone_number": "503-216-3194",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "ANDREW",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-05",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OR",
"license": "MD161505",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OR",
"license": "MD161505",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500654440",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.