Individual provider Active NPI

Myles C Young, MD

  • Internal Medicine Physician
  • Port Richey, FL
National Provider Identifier
1235699356
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036160552 Issued in IL
Practice address
11528 US Highway 19
Port Richey, FL 34668-1442
Phone
(727) 868-2151
Fax
(868) 869-0732
NPI assigned
Mar 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 036160552 IL
Internal Medicine Physician 207R00000X 036160552 IL Primary

Addresses

Primary practice location

11528 US Highway 19
Port Richey, FL 34668-1442

Mailing address

11528 US Highway 19
Port Richey, FL 34668-1442
Phone (727) 868-2151

Other identifiers 2

IdentifierTypeStateIssuer
036160552MedicaidIL
122048900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221024000104 IL Practitioner - Internal Medicine 1052642535 Reassigns benefits to 1 organization
I20240624004851 FL Practitioner - Internal Medicine 1052642535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians
SMS DO PAGroup PAC ID 0143207530, 22 clinicians

Practice addresses (Care Compare)

5347 Main St
New Port Richey, FL 34652-2520
Phone (727) 841-0515

9238 US Hwy 19
Port Richey, FL 34668-4853
Phone (727) 849-8491

Hospital & facility affiliations

  • TGH Home Care Powered by Vna Florida Home health agency, Trinity, FL, CCN 687192
  • HCA Florida Trinity Hospital Hospital, Trinity, FL, CCN 100191
  • Morton Plant North Bay Hospital Hospital, New Port Richey, FL, CCN 100063
  • Adventhealth North Pinellas Hospital, Tarpon Springs, FL, CCN 100055
  • HCA Florida Bayonet Point Hospital Hospital, Hudson, FL, CCN 100256

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036160552ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
S M S DO PA Internal Medicine CurrentSince Aug 5, 2024 Accepting new patients
Best Practices Inpatient Care, LTD. Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients
Best Practices Inpatient Care,LTD Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients

Locations

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

9100 Hudson Ave
Hudson, FL 34667
Phone (727) 868-2151

11528 US Highway 19
#C
Port Richey, FL 34668
Phone (727) 868-2151

9238 US Highway 19
Port Richey, FL 34668
Phone (727) 446-5633

11528 US Highway 19
Port Richey, FL 34668
Phone (727) 868-2151

11034 Spring Hill Dr
Spring Hill, FL 34608
Phone (352) 688-6228

3012 Starkey Blvd
Trinity, FL 34655
Phone (727) 375-1004

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

106 Barrington Commons Ct
Unit 1790
Barrington, IL 60011
Phone (847) 719-2220

3880 Salem Lake Dr
Ste F
Long Grove, IL 60047
Phone (847) 719-2220

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

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 5

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": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1235699356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11528 US HIGHWAY 19",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346681442",
            "telephone_number": "727-868-2151",
            "fax_number": "727-869-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11528 US HIGHWAY 19",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346681442",
            "telephone_number": "727-868-2151",
            "fax_number": "868-869-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MYLES",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-24",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036160552",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036160552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036160552",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122048900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

Verify at the official NPI Registry.