NPIMap

Individual provider Active NPI

Jeffrey L Young, M.D.

  • Gastroenterology Physician
  • Overland Park, KS
National Provider Identifier
1225008220
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
04-24631 Issued in KS
Practice address
10116 W 105TH St
Overland Park, KS 66212-5746
Phone
(913) 541-0510
Fax
(913) 541-1852
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 109022 MO
Gastroenterology Physician 207RG0100X 04-24631 KS Primary

Addresses

Primary practice location

10116 W 105TH St
Overland Park, KS 66212-5746

Mailing address

10116 W 105TH St
Overland Park, KS 66212-5746
Phone (913) 541-0510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060120000852 MO Practitioner - GastroenterologyPractitioner - Internal Medicine 6305892563 Reassigns benefits to 1 organization
I20060125000615 KS Practitioner - GastroenterologyPractitioner - Internal Medicine 6305892563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Associates LLCGroup PAC ID 1759305931, 13 clinicians

Practice addresses (Care Compare)

10116 W 105TH St
Overland Park, KS 66212-5746
Phone (913) 495-9600

Hospital & facility affiliations

  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
  • Overland Park Reg Med Ctr Hospital, Overland Park, KS, CCN 170176
  • Adventhealth South Overland Park, Inc Hospital, Overland Park, KS, CCN 170208
  • Adventhealth Ottawa Hospital, Ottawa, KS, CCN 170014
  • Kansas City Orthopaedic Institute Hospital, Leawood, KS, CCN 170188

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy228
Upper gastrointestinal (GI) endoscopy for acid reflux204

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109022MOMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gasgas LLC Current Accepting new patients
Gastrointestinal Associates, LLC Specialist CurrentSince Jul 1, 1995 Accepting new patients
Cep America - California Past Accepting new patients

Locations

10200 W 105th St
Ste 100
Overland Park, KS 66212
Phone (913) 492-0800

10116 W 105th St
Overland Park, KS 66212
Phone (913) 495-9600

10200 W 105th St
Ste 200
Overland Park, KS 66212
Phone (913) 495-9600

10200 W 105th St
Overland Park, KS 66212
Phone (913) 492-0800

1000 Carondelet Dr
Ste 203B
Kansas City, MO 64114
Phone (913) 495-9600

Interoperability endpoints

  • Direct secure messaging: jeffrey.young@gia.eclinicaldirectplus.com

Organizations & group practices 3

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1225008220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10116 W 105TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662125746",
            "telephone_number": "913-541-0510",
            "fax_number": "913-541-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10116 W 105TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662125746",
            "telephone_number": "913-541-0510",
            "fax_number": "913-541-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "109022",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KS",
            "license": "04-24631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.