Active NPI
Robert A Young, MD
- Internal Medicine Physician
- Hudson, FL
National Provider Identifier
1235155243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME38298
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 065873100 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME38298 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Counseling Psychologist
- Tarpon Springs, FL
- NPI 1750503363
-
- Clinical Psychologist
- New Port Richey, FL
- NPI 1326375296
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tampa, FL
- NPI 1770586257
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.