Active NPI
David Andrew Young, MD
- Ophthalmology Physician
- Honolulu, HI
National Provider Identifier
1053469221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD12448
- Practice address
- 1319 Punahou St
Suite 1030
Honolulu, HI 96826-1077 - Phone
- (808) 942-5570
- Fax
- (808) 941-5577
- NPI assigned
- Jan 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD12448 | HI | Primary |
Addresses
Primary practice location
1319 Punahou St
Suite 1030
Honolulu, HI 96826-1077
Mailing address
1319 Punahou St
Suite 1030
Honolulu, HI 96826-1077
Phone (808) 942-5570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54000601 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- 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
- Ophthalmology
- Education
- University of Hawaii John a. Burns School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1319 Punahou St
Suite 1030
Honolulu, HI 96826-1077
Phone (808) 942-5570
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD12448 | HI | MD | Ophthalmology Physician |
Networks
- HI PPO
- devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Honolulu, HI
- NPI 1063440923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380499200000",
"number": "1053469221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1319 PUNAHOU ST",
"address_2": "SUITE 1030",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968261077",
"telephone_number": "808-942-5570",
"fax_number": "808-941-5577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1319 PUNAHOU ST",
"address_2": "SUITE 1030",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968261077",
"telephone_number": "808-942-5570",
"fax_number": "808-941-5577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "DAVID",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-06",
"last_updated": "2013-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "HI",
"license": "MD12448",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54000601",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.