Individual provider Active NPI

Adrienne Michele Young, M.D.

  • Internal Medicine Physician
  • MC Kees Rocks, PA
National Provider Identifier
1124040449
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD042043E Issued in PA
Practice address
27 Heckel Rd
Suite 205
MC Kees Rocks, PA 15136-1616
Phone
(412) 771-0555
Fax
(412) 771-0455
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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 MD042043E PA Primary

Addresses

Primary practice location

27 Heckel Rd
Suite 205
MC Kees Rocks, PA 15136-1616

Mailing address

27 Heckel Rd
Suite 205
MC Kees Rocks, PA 15136-1616
Phone (412) 771-0555

Other identifiers 1

IdentifierTypeStateIssuer
0011421720012MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070210000006 PA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 7517969173 Practice locations: Sewickley, PA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adrienne M Young MD LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1124040449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 HECKEL RD",
            "address_2": "SUITE 205",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361616",
            "telephone_number": "412-771-0555",
            "fax_number": "412-771-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 HECKEL RD",
            "address_2": "SUITE 205",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361616",
            "telephone_number": "412-771-0555",
            "fax_number": "412-771-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ADRIENNE",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD042043E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011421720012",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Kees Rocks, PA

Sources for this page

Verify at the official NPI Registry.