Individual provider Active NPI

Daniel Owen Young, MD

  • Colon & Rectal Surgery Physician
  • Valparaiso, IN
National Provider Identifier
1164781514
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
21927 Issued in ND
Practice address
85 E US Highway 6 Ste 240
Valparaiso, IN 46383-8948
Phone
(219) 983-6240
Fax
(219) 983-6040
NPI assigned
May 4, 2012
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X 01086118A IN
Surgery Physician 208600000X MD60845488 WA
Colon & Rectal Surgery Physician 208C00000X 21927 ND Primary

Addresses

Primary practice location

85 E US Highway 6 Ste 240
Valparaiso, IN 46383-8948

Mailing address

2022 Kelle Dr
Chesterton, IN 46304-8708
Phone (219) 364-3616

Other practice location 1

925 Seneca St
H8-Gme
Seattle, WA 98101-2742
Phone (206) 583-6079

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address dyoung1043701@wm.providencedirect.org
Direct Messaging Address dyoung1043701@wm.providencedirect.org
Direct Messaging Address dyoung1043701@wm.providencedirect.org
Direct Messaging Address daniel.young.1@2340.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, IN, ND3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20181010001259 WA Practitioner - General Surgery 5799921953 Reassigns benefits to 2 organizations
I20210730001380 IN Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 5799921953 Reassigns benefits to 1 organization
I20250203001808 ND Practitioner - Colorectal Surgery (Proctology) 5799921953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
University of Rochester School of Medicine and Dentistry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians

Practice addresses (Care Compare)

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445

5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575

801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy33
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01086118AINMDSurgery Physician
MD60845488WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacmed Clinics Multi-Specialty Current Accepting new patients
Sanford Medical Center Fargo Multi-Specialty CurrentSince Jan 27, 2025 Accepting new patients
Pacmed Clinics CurrentSince Oct 31, 2018 Accepting new patients
Porter Physician Services LLC Multi-Specialty CurrentSince Aug 1, 2021 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jan 27, 2025 Accepting new patients
Pacmed Clinics CurrentSince Aug 9, 2018 Accepting new patients

Locations

2022 Kelle Dr
Chesterton, IN 46304
Phone (219) 364-3616

650 Dickinson Rd
Ste A
Chesterton, IN 46304
Phone (219) 926-2133

650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

85 E US Highway 6
Ste 240
Valparaiso, IN 46383
Phone (219) 983-6240

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

220 15th Ave SE
Puyallup, WA 98372
Phone (253) 435-3400

601 S Carr Rd
Ste 100
Renton, WA 98055
Phone (425) 227-3700

1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101

1101 Madison St
Ste 400
Seattle, WA 98104
Phone (206) 505-1230

1200 12th Ave S
Seattle, WA 98144
Phone (206) 326-2400

Interoperability endpoints

  • Direct secure messaging: daniel.young.1@2340.direct.athenahealth.com
  • Direct secure messaging: dyoung1043701@wm.providencedirect.org
  • Direct secure messaging: owen.young@direct.vmmc.org

Organizations & group practices 6

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": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1164781514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 KELLE DR",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463048708",
            "telephone_number": "219-364-3616",
            "fax_number": "219-364-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 E US HIGHWAY 6 STE 240",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463838948",
            "telephone_number": "219-983-6240",
            "fax_number": "219-983-6040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 Seneca St",
            "address_2": "H8-GME",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981012742",
            "country_code": "US",
            "telephone_number": "206-583-6079",
            "fax_number": "206-583-2307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DANIEL",
        "middle_name": "OWEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-04",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01086118A",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD60845488",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "ND",
            "license": "21927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dyoung1043701@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "1101 Madison St Ste 301",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981043599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dyoung1043701@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "601 S Carr Rd Ste 100",
            "city": "Renton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980555802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dyoung1043701@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "1200 12th Ave S",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981442712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daniel.young.1@2340.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR",
            "address_1": "85 E US Highway 6 Ste 240",
            "city": "Valparaiso",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463838948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.