Individual provider Active NPI

Robert J Young, MD

  • Gynecology Physician
  • Blacksburg, VA
National Provider Identifier
1053392399
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
0101-050317 Issued in VA
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

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010166845MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050701000515 VA Practitioner - Obstetrics/Gynecology 7810933629 Reassigns benefits to 1 organization

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
Savida Health PCGroup PAC ID 4082809967, 89 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
0101-050317VAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Savida Health, PC Addiction Medicine CurrentSince Aug 1, 2021 Accepting new patients
Savida Health, PC Addiction Medicine CurrentSince Aug 1, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.