Active NPI
Craig C Young, MD
- Sports Medicine (Family Medicine) Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 33350
- Practice address
- 9200 W Wisconsin Ave
Milwaukee, WI 53226-3522 - Phone
- (414) 805-7100
- Fax
- (414) 805-7171
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 33350 | WI | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 33350 | WI | Primary |
Addresses
Primary practice location
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Mailing address
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 805-7100
Other practice location 1
8700 W Watertown Plank Rd
Wisconsin Athletic Club Building
Milwaukee, WI 53226-3595
Phone (414) 805-7100
Other practice location 2
N91W15750 Falls Pkwy
Menomonee Falls, WI 53051-2301
Phone (262) 532-1100
Other practice location 3
2400 W Villard Ave
Milwaukee, WI 53209-4901
Phone (414) 527-8348
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002000139I | Other | HUMANA | |
| 1215989579 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8700 Watertown Plank Rd
Milwaukee, WI 53226-3595
Phone (414) 805-7100
8701 W Watertown Plank
Milwaukee, WI 53226-3548
Phone (414) 805-3666
8701 Watertown Plank Rd
Room 4041 MFRC
Milwaukee, WI 53226-3548
Phone (414) 805-3666
Hospital & facility affiliations
- Froedtert Memorial Lutheran Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33350 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Family Medicine | Current | Accepting new patients |
| The Medical College of Wisconsin Inc | Past | Accepting new patients |
Locations
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
2400 W Villard Ave
Glendale, WI 53209
Phone (414) 527-8000
N91W15750 Falls Pkwy
Menomonee Falls, WI 53051
Phone (262) 532-1100
10911 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-2080
Bin 88350
Milwaukee, WI 53288
Phone (414) 805-3122
1320 Wisconsin Ave
Racine, WI 53403
Phone (262) 687-2222
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
8700 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 805-7100
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
Interoperability endpoints
- cyoungmd5744@direct.froedtert.com
- cyoung21401@direct.phci.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Family Medicine
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
-
- Case Management Agency
- Milwaukee, WI
- NPI 1649521105
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1255334173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1215989579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-7100",
"fax_number": "414-805-7171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-7100",
"fax_number": "414-805-7171"
}
],
"practiceLocations": [
{
"address_1": "8700 W Watertown Plank Rd",
"address_2": "Wisconsin Athletic Club Building",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532263595",
"country_code": "US",
"telephone_number": "414-805-7100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "N91W15750 Falls Pkwy",
"address_purpose": "LOCATION",
"city": "Menomonee Falls",
"state": "WI",
"postal_code": "530512301",
"country_code": "US",
"telephone_number": "262-532-1100",
"fax_number": "262-532-1409",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2400 W Villard Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532094901",
"country_code": "US",
"telephone_number": "414-527-8348",
"fax_number": "414-527-5069",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "CRAIG",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "33350",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "WI",
"license": "33350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "002000139I",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215989579",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.