Individual provider Active NPI

Jeffrey Lee Young, P.A.

  • Surgical Physician Assistant
  • Houston, TX
National Provider Identifier
1164590279
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA02562 Issued in TX
Practice address
7789 Southwest Fwy Ste 540
Houston, TX 77074-1835
Phone
(713) 486-8200
Fax
(713) 981-7106
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 556120 TX
Medical Physician Assistant 363AM0700X PA02562 TX
Surgical Physician Assistant 363AS0400X PA02562 TX Primary

Addresses

Primary practice location

7789 Southwest Fwy Ste 540
Houston, TX 77074-1835

Mailing address

6400 Fannin St Ste 1700
Houston, TX 77030-1526
Phone (713) 486-8200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060510000411 TX Practitioner - Physician Assistant 8628089208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

17500 W Grand Pkwy S
Sugar Land, TX 77479-2562
Phone (281) 725-5000

17510 W Grand Pkwy S
Suite 190
Sugar Land, TX 77479-2647
Phone (713) 892-5500

5420 W Loop S
Suite 2400
Bellaire, TX 77401-2107
Phone (713) 486-3550

6410 Fannin St
Houston, TX 77030-3005

8810 Hwy 6
Suite 100
Missouri City, TX 77459-7104
Phone (713) 486-1200

Hospital & facility affiliations

  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
  • Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
556120TXMDMedical-Surgical Registered Nurse
PA02562TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Dec 1, 2012 Accepting new patients
Ut Physicians CurrentSince Dec 1, 2012 Accepting new patients
MHS Physicians of Texas Past Accepting new patients

Locations

5420 West Loop S
Ste 2400
Bellaire, TX 77401
Phone (713) 314-4600

7789 Southwest Fwy
Ste 540
Houston, TX 77074
Phone (713) 486-1110

6400 Fannin St
Ste 1700
Houston, TX 77030
Phone (713) 486-5527

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

1800 W 26th St
Ste 103
Houston, TX 77008
Phone (713) 957-8400

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

17520 W Grand Pkwy S
Ste 200
Sugar Land, TX 77479
Phone (713) 486-1600

Interoperability endpoints

  • Direct secure messaging: jyoung12717@direct.uth.org

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.

Hospital & facility affiliations 3

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1164590279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST STE 1700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301526",
            "telephone_number": "713-486-8200",
            "fax_number": "713-981-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7789 SOUTHWEST FWY STE 540",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741835",
            "telephone_number": "713-486-8200",
            "fax_number": "713-981-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JEFFREY",
        "middle_name": "LEE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "TX",
            "license": "556120",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA02562",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA02562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.