Individual provider Active NPI

Byron Goon Neu Young, M.D.

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1104971688
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD2553 Issued in HI
Practice address
1109 Young St
Suite 104
Honolulu, HI 96814-1990
Phone
(808) 589-1777
Fax
(808) 589-2622
NPI assigned
Jan 24, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD2553 HI Primary

Addresses

Primary practice location

1109 Young St
Suite 104
Honolulu, HI 96814-1990

Mailing address

1109 Young St
Suite 104
Honolulu, HI 96814-1990
Phone (808) 589-1777

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050928001221 HI Practitioner - Internal Medicine 8921033952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rush Medical College of Rush University, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1109 Young St
Suite 104
Honolulu, HI 96814-1991

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2553HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kraig L. Young, M.D., LLC CurrentSince Jul 23, 2023 Accepting new patients
Byron G. Young M.D. Inc Internal Medicine CurrentSince Feb 19, 2013 Accepting new patients

Locations

1109 Young St
Ste 104
Honolulu, HI 96814
Phone (808) 589-1777

Interoperability endpoints

  • Direct secure messaging: byron.young@hawaiihie.medicity.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/FEHJAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FEHJAA/Endpoint/FEHJAA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104971688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 YOUNG ST",
            "address_2": "SUITE 104",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141990",
            "telephone_number": "808-589-1777",
            "fax_number": "808-589-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 YOUNG ST",
            "address_2": "SUITE 104",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141990",
            "telephone_number": "808-589-1777",
            "fax_number": "808-589-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "BYRON",
        "middle_name": "GOON NEU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD2553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.