Active NPI
Daniel Owen Young, MD
- Colon & Rectal Surgery Physician
- Valparaiso, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 21927
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 33 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01086118A | IN | MD | Surgery Physician |
| MD60845488 | WA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacmed Clinics | Multi-Specialty | Current | Accepting new patients |
| Sanford Medical Center Fargo | Multi-Specialty | Current | Accepting new patients |
| Pacmed Clinics | Current | Accepting new patients | |
| Porter Physician Services LLC | Multi-Specialty | Current | Accepting new patients |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Pacmed Clinics | Current | 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
- daniel.young.1@2340.direct.athenahealth.com
- dyoung1043701@wm.providencedirect.org
- 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.
-
dba Sanford 1717 Medical Building
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
Multi-Specialty
-
- Family Medicine Physician
- Valparaiso, IN
- NPI 1508075680
Multi-Specialty
-
- Ambulatory Surgical Clinic/Center
- Seattle, WA
- NPI 1437202249
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1720023641
-
dba Sanford POWER Center
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sanford Bemidji
- Ambulatory Surgical Clinic/Center
- Bemidji, MN
- NPI 1093876922
Hospital
-
dba Sanford 1717 Medical Building
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
Hospital
-
dba Sanford Physical Therapy
- General Acute Care Hospital
- Fargo, ND
- NPI 1245519081
-
dba Sanford POWER Center
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
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
- Samantha Yates
- Nageswar Yelavarthi, M.D.
- Luis Ylagan, MD
- Young Men's Christian Association of Valparaiso, Indiana, Inc.
- Connie Symone Young, COS
- Erika Young, D.O.
- Teresa L Young, MS
- Your Nurse, LLC (Your Nephrologist)
- Youth Service Bureau of Porter County, Inc. (Family & Youth Services Bureau)
- Janice Lynn Yudt, RD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.