Individual provider Active NPI

Lyle Young, MD

  • Orthopaedic Surgery of the Spine Physician
  • Tempe, AZ
National Provider Identifier
1194979427
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
47545 Issued in AZ
Practice address
1255 W Rio Salado Pkwy Ste 107
Tempe, AZ 85281-2892
Phone
(480) 962-0071
Fax
(480) 962-0590
NPI assigned
Nov 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 068125 GA
Orthopaedic Surgery of the Spine Physician 207XS0117X 47545 AZ Primary

Addresses

Primary practice location

1255 W Rio Salado Pkwy Ste 107
Tempe, AZ 85281-2892

Mailing address

1255 W Rio Salado Pkwy Ste 107
Tempe, AZ 85281-2892
Phone (480) 962-0071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AZ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20120813000300 GA Practitioner - Orthopedic Surgery 7517113293 Reassigns benefits to 2 organizations
I20131126000792 AZ Practitioner - Orthopedic Surgery 7517113293 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10510 N 92ND St
Scottsdale, AZ 85258-4566

1255 W Rio Salado Pkwy
Suite 107
Tempe, AZ 85281-2892
Phone (480) 962-0071

3717 S Rome St
Suite 106
Gilbert, AZ 85297-7368
Phone (480) 962-0071

7242 E Osborn Rd
Scottsdale, AZ 85251-6487

7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone (480) 882-6700

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255-4109
Phone (480) 324-7000

Hospital & facility affiliations

  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038
  • Banner Payson Medical Center Hospital, Payson, AZ, CCN 031318

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion84
Laminectomy or laminotomy (partial removal of spine bones)34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47545AZMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Regional Medical Center CurrentSince May 1, 2024 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Aug 1, 2012 Accepting new patients
The Emory Clinic Inc Orthopaedic Surgery of the Spine CurrentSince Aug 1, 2012 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Emory Medical Care Foundation Inc Current Accepting new patients
Emory Medical Care Foundation Inc Orthopaedic Surgery CurrentSince Aug 1, 2012 Accepting new patients
Scottsdale Healthcare Corp CurrentSince Mar 21, 2022 Accepting new patients
Sonoran Spine Center P.C. Orthopaedic Surgery of the Spine CurrentSince Aug 15, 2013 Accepting new patients
Honorhealth Ambulatory CurrentSince Mar 21, 2022 Accepting new patients
Honorhealth Ambulatory Orthopaedic Surgery Past Accepting new patients

Locations

2557 S Val Vista Dr
Ste 103
Gilbert, AZ 85295
Phone (480) 988-2181

3717 S Rome St
Ste 106
Gilbert, AZ 85297
Phone (623) 683-8184

1432 S Dobson Rd
Ste 201
Mesa, AZ 85202
Phone (602) 274-7600

2610 N 3rd St
Ste B
Phoenix, AZ 85004
Phone (602) 274-7600

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

2500 W Utopia Rd
Ste Cvo
Phoenix, AZ 85027

20401 N 73rd St
Ste 155
Scottsdale, AZ 85255
Phone (480) 767-0711

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

7242 E Osborn Rd
Ste 230
Scottsdale, AZ 85251
Phone (480) 222-7246

1255 W Rio Salado Pkwy
Ste 107
Tempe, AZ 85281
Phone (602) 443-4170

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

2460 S Parkview Loop
Ste 3
Yuma, AZ 85364
Phone (928) 336-5483

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889

Interoperability endpoints

  • Direct secure messaging: lyoung71322@direct.honorhealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ICIFBD

Organizations & group practices 10

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 2

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": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1194979427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 W RIO SALADO PKWY STE 107",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812892",
            "telephone_number": "480-962-0071",
            "fax_number": "480-962-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W RIO SALADO PKWY STE 107",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812892",
            "telephone_number": "480-962-0071",
            "fax_number": "480-962-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "LYLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-13",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "GA",
            "license": "068125",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "AZ",
            "license": "47545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.