Individual provider Active NPI

Robert A Young, MD

  • Internal Medicine Physician
  • Hudson, FL
National Provider Identifier
1235155243
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME38298 Issued in FL
Practice address
13910 Lakeshore Blvd
Suite 130 Building 100
Hudson, FL 34667-1481
Phone
(727) 862-5478
Fax
(727) 862-5477
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME38298 FL Primary

Addresses

Primary practice location

13910 Lakeshore Blvd
Suite 130 Building 100
Hudson, FL 34667-1481

Mailing address

13910 Lakeshore Blvd
Suite 130 Building 100
Hudson, FL 34667-1481
Phone (727) 862-5478

Other identifiers 1

IdentifierTypeStateIssuer
065873100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101006000817 FL Practitioner - Internal Medicine 0749472959 Practice locations: Hudson, FL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13910 Lakeshore Blvd
Suite 130
Hudson, FL 34667-1770
Phone (727) 862-5478

Hospital & facility affiliations

  • TGH Home Care Powered by Vna Florida Home health agency, Trinity, FL, CCN 687192

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME38298FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan T Young MD, PA Internal Medicine Past Accepting new patients
Navnit U Patel MD PA Internal Medicine Past Accepting new patients
Trinity Behavioral Health, LLC Past Accepting new patients
Benjamin N Cohen PHD PA Past Accepting new patients

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.

Hospital & facility affiliations 1

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1235155243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13910 LAKESHORE BLVD",
            "address_2": "SUITE 130 BUILDING 100",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346671481",
            "telephone_number": "727-862-5478",
            "fax_number": "727-862-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13910 LAKESHORE BLVD",
            "address_2": "SUITE 130 BUILDING 100",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346671481",
            "telephone_number": "727-862-5478",
            "fax_number": "727-862-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME38298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065873100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.