Individual provider Active NPI

Jill A Melendez Young, MD

  • Nephrology Physician
  • Nashua, NH
National Provider Identifier
1184628158
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
220469 Issued in MA
Practice address
38 Tyler St
Nashua, NH 03060-2943
Phone
(603) 882-2921
Fax
(603) 882-0132
NPI assigned
Jun 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14051 NH
Nephrology Physician 207RN0300X 220469 MA Primary
Nephrology Physician 207RN0300X 14051 NH

Addresses

Primary practice location

38 Tyler St
Nashua, NH 03060-2943

Mailing address

1493 Cambridge Street
Cambridge, MA 02139
Phone (617) 665-1552

Other identifiers 2

IdentifierTypeStateIssuer
2065631MedicaidMA
30207999MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040721000071 MA Practitioner - NephrologyPractitioner - Internal Medicine 0042290140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Southern Illinois University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cambridge Public Health CommissionGroup PAC ID 8921910894, 654 clinicians
Mount Auburn Professional Services IncGroup PAC ID 6103725031, 229 clinicians

Practice addresses (Care Compare)

1493 Cambridge St
Cambridge, MA 02139-1047
Phone (617) 665-1000

300 Mount Auburn St
Cambridge, MA 02138-5600
Phone (617) 499-5055

330 Mount Auburn St
Cambridge, MA 02138-5502

57 Bedford St
Suite 130
Lexington, MA 02420-4543
Phone (781) 862-7500

Hospital & facility affiliations

  • DaVita Northeast Cambridge Dialysis Dialysis facility, Cambridge, MA, CCN 222533
  • Mount Auburn Hospital Hospital, Cambridge, MA, CCN 220002
  • Cambridge Health Alliance Hospital, Cambridge, MA, CCN 220011
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
  • Winchester Hospital Hospital, Winchester, MA, CCN 220105

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Auburn Professional Services Inc Internal Medicine CurrentSince Mar 14, 2018 Accepting new patients
Mt Auburn Professional Services Internal Medicine CurrentSince Mar 14, 2018 Accepting new patients
Cambridge Public Health Commission CurrentSince Dec 16, 2018 Accepting new patients
Mt Auburn Prof Services Past Accepting new patients
Cambridge Public Health Commission Past Accepting new patients

Locations

300 Mount Auburn St
Ste 515
Cambridge, MA 02138
Phone (617) 665-1552

330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 6

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1184628158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1493 CAMBRIDGE STREET",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02139",
            "telephone_number": "617-665-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 TYLER ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030602943",
            "telephone_number": "603-882-2921",
            "fax_number": "603-882-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ YOUNG",
        "first_name": "JILL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-08",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "14051",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "220469",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NH",
            "license": "14051",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2065631",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30207999",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.