Active NPI
Robert J Young, MD
- Gynecology Physician
- Blacksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 0101-050317
- Practice address
- 3698 S Main St
Blacksburg, VA 24060-7015 - Phone
- (540) 951-7880
- Fax
- (540) 951-3106
- NPI assigned
- Nov 11, 2005
- 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 |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 0101050317 | VA | |
| Gynecology Physician | 207VG0400X | 0101-050317 | VA | Primary |
Addresses
Primary practice location
3698 S Main St
Blacksburg, VA 24060-7015
Mailing address
1542 Whitman LN
Christiansburg, VA 24073-7026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010166845 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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
- Obstetrics/Gynecology
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2609 Sheffield Dr
Blacksburg, VA 24060-8271
Phone (833) 952-0829
Merit-based Incentive Payment System (MIPS)
- Final score
- 35.98 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 20
- Cost
- 78.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101-050317 | VA | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savida Health, PC | Addiction Medicine | Current | Accepting new patients |
| Savida Health, PC | Addiction Medicine | Current | Accepting new patients |
| Carilion Healthcare Corporation | Past | Accepting new patients | |
| Savida Health, PC | Addiction Medicine | Past | Accepting new patients |
Locations
2609 Sheffield Dr
Blacksburg, VA 24060
Phone (304) 647-0677
767 Madison Rd
Ste 107
Culpeper, VA 22701
Phone (540) 850-0858
590 Neff Ave
Ste 2500
Harrisonburg, VA 22801
1 E Market St
Ste C
Martinsville, VA 24112
Phone (276) 656-2185
158 Front Royal Pike
Ste 205
Winchester, VA 22602
Phone (540) 450-0334
4001 Prince William Pkwy
Ste 300
Woodbridge, VA 22192
Phone (703) 214-5825
Interoperability endpoints
- robert.young.1@24804.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Addiction Medicine (Internal Medicine) Physician
- Woodbridge, VA
- NPI 1548739170
-
- Addiction Medicine (Internal Medicine) Physician
- Gilford, NH
- NPI 1285388546
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1447206370
-
- Addiction Medicine (Internal Medicine) Physician
- W Springfield, MA
- NPI 1316253875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1053392399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1542 WHITMAN LN",
"city": "CHRISTIANSBURG",
"state": "VA",
"postal_code": "240737026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3698 S MAIN ST",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240607015",
"telephone_number": "540-951-7880",
"fax_number": "540-951-3106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-11",
"last_updated": "2021-07-20",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "VA",
"license": "0101050317",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "VA",
"license": "0101-050317",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010166845",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blacksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.