Individual provider Active NPI

Tasha Latrice Young, DPM

  • Foot & Ankle Surgery Podiatrist
  • Potomac, MD
National Provider Identifier
1053451344
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01445 Issued in MD
Practice address
12430 Park Potomac Ave
Potomac, MD 20854-6948
Phone
(017) 410-3283
Fax
(240) 547-6167
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 01445 MD
Foot & Ankle Surgery Podiatrist 213ES0103X 01445 MD Primary

Addresses

Primary practice location

12430 Park Potomac Ave
Potomac, MD 20854-6948

Mailing address

12430 Park Potomac Ave Unit N201
Potomac, MD 20854-6950
Phone (301) 741-0328

Other names 1

  • Tasha Latrice Young Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070716000452 DC Practitioner - Podiatry 5092815357 Practice locations: Bowie, MD; Largo, MD; McLean, VA; Potomac, MD; Rockville, MD; Upper Marlboro, MD
I20150707000977 MD Practitioner - Podiatry 5092815357 Practice locations: Potomac, MD

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12430 Park Potomac Ave
Potomac, MD 20854-6950

12430 Park Potomac Ave
Unit N124
Potomac, MD 20854-6949

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue4929
Removal or shaving of skin growth650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01445MDMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Erickson Health Medical Group of Virginia PC Podiatrist Past Accepting new patients
Tasha Latrice Young PastSince Jan 1, 1990 Accepting new patients
Physicians Health Solutions PastSince Oct 28, 2009 Accepting new patients

Organizations & group practices 3

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1053451344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12430 PARK POTOMAC AVE UNIT N201",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208546950",
            "telephone_number": "301-741-0328",
            "fax_number": "240-547-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12430 PARK POTOMAC AVE",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208546948",
            "telephone_number": "017-410-3283",
            "fax_number": "240-547-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TASHA",
        "middle_name": "LATRICE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01445",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TASHA",
            "last_name": "YOUNG",
            "middle_name": "LATRICE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Potomac, MD

Sources for this page

Verify at the official NPI Registry.