Young G In, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E6435 Issued in TX

Practice address

3480 Fannin St Ste a
Beaumont, TX 77701-3804

Phone

(409) 833-7585

Fax

(409) 833-7760

NPI assigned

Jun 21, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Young G. in, MD, PA

  • Primary Care Clinic/Center
  • Beaumont, TX
  • NPI 1457680811
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1215933684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 FANNIN ST STE A",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013804",
            "telephone_number": "409-833-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 FANNIN ST STE A",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013804",
            "telephone_number": "409-833-7585",
            "fax_number": "409-833-7760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3432 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777013803",
            "country_code": "US",
            "telephone_number": "409-833-7585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IN",
        "first_name": "YOUNG",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2024-06-05",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E6435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Mechanic Hyman, AUD
• Ibl Social Services
• Taylor Ienna, NP
• Michael John Ieyoub, CRNA
• Immediate Medical Care Center PLLC
• Suresh B Indupalli, M.D.
• Infectious Diseases Associates, LLP
• Infinite Care
• Infinity Diagnostics Center Beaumont LLC
• Merrie Ellen Ingalls-Webb, L.M.S.W.

• Family Medicine Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.

Verify at the official NPI Registry.