Individual provider Active NPI

Andrew T Young, MD

  • Anesthesiology Physician
  • Medford, OR
National Provider Identifier
1013273804
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD161505 Issued in OR
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

Updated by the provider on Feb 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
500654440MedicaidOR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141111000001 OR Practitioner - AnesthesiologyPractitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4385899038 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Critical Care (Intensivists)
Education
Ohio State University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Washington - TCSGroup PAC ID 6800240102, 197 clinicians

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

LicenseStateTypeSpecialty
MD161505ORMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asante Physician Partners Pulmonary Disease CurrentSince Mar 23, 2020 Accepting new patients
Providence Health & Services - Oregon Anesthesiology CurrentSince Dec 6, 2024 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jan 27, 2025 Accepting new patients
Asante CurrentSince Aug 29, 2017 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 27, 2025 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 CurrentSince Nov 15, 2017 Accepting new patients
Asante CurrentSince Aug 29, 2017 Accepting new patients
Anesthesia Associates of Medford PC Anesthesiology CurrentSince Jul 1, 2017 Accepting new patients
Hospitalist Medicine Physicians of Washington - TCS Anesthesiology CurrentSince Mar 20, 2025 Accepting new patients
Vibra Physicians LLC CurrentSince Jul 1, 2014 Accepting new patients
Active Health Chiropractic, PC PastSince Apr 23, 2023 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.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.