NPIMap

Individual provider Active NPI

John Isaac Young, MD

  • Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1114218963
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
52299 Issued in AZ
Practice address
4212 N 16TH St
Phoenix, AZ 85016-5319
Phone
(602) 263-1512
Fax
(502) 200-5387
NPI assigned
Apr 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 52428 KY
Surgery Physician 208600000X 52299 AZ Primary

Addresses

Primary practice location

4212 N 16TH St
Phoenix, AZ 85016-5319

Mailing address

4212 N 16TH St
Phoenix, AZ 85016-5319
Phone (602) 200-5387

Other practice location 1

1532 Lone Oak Rd Ste 235
Paducah, KY 42003-7941
Phone (270) 442-9463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160816002390 TX Practitioner - General Surgery 7618114729 Reassigns benefits to 4 organizations
I20210322001879 KY Practitioner - General Surgery 7618114729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3801 University Lake Dr
Anchorage, AK 99508-4658
Phone (907) 563-2662

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.93 of 100Reported as group
Quality
70.1
Promoting interoperability
100
Improvement activities
40
Cost
83.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy38
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux131
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maniilaq Association CurrentSince Apr 1, 2025 Accepting new patients
District Medical Group, Inc CurrentSince Dec 15, 2020 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jul 24, 2016 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Mar 31, 2021 Accepting new patients
Maniilaq Association CurrentSince Apr 1, 2025 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Jun 12, 2017 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jul 24, 2016 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC Surgery CurrentSince Mar 31, 2021 Accepting new patients
Maniilaq Association Current Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Sep 6, 2022 Accepting new patients
District Medical Group, Inc Current Accepting new patients
DHHS IHS Phoenix Area CurrentSince Jun 12, 2017 Accepting new patients
District Medical Group, Inc CurrentSince Dec 15, 2020 Accepting new patients
Alaska Native Tribal Health Consortium Past Accepting new patients
Mercy Health Physicians Kentucky LLC Family Medicine Past Accepting new patients

Locations

3801 University Lake Dr
Anchorage, AK 99508
Phone (907) 563-8876

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

1532 Lone Oak Rd
Ste 235
Paducah, KY 42003
Phone (270) 442-9463

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

Interoperability endpoints

  • Direct secure messaging: jyoung848215@direct.bsmhealth.org
  • Direct secure messaging: jyoung223834@direct.valleywisehealth.org
  • Direct secure messaging: jiyoung@direct.anthc.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1114218963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165319",
            "telephone_number": "602-200-5387",
            "fax_number": "602-200-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165319",
            "telephone_number": "602-263-1512",
            "fax_number": "502-200-5387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1532 Lone Oak Rd Ste 235",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420037941",
            "country_code": "US",
            "telephone_number": "270-442-9463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JOHN",
        "middle_name": "ISAAC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-28",
        "last_updated": "2021-02-16",
        "certification_date": "2020-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "52428",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "52299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.