Individual provider Active NPI

Robert Michael Young, MD

  • Surgery Physician
  • Paris, TX
National Provider Identifier
1255366019
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
H2919 Issued in TX
Practice address
2870 Lewis LN
Suite 228
Paris, TX 75460-9380
Phone
(903) 785-1346
Fax
(903) 785-1481
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X H2919 TX Primary

Addresses

Primary practice location

2870 Lewis LN
Suite 228
Paris, TX 75460-9380

Mailing address

2870 Lewis LN
Ste 228
Paris, TX 75460-9380
Phone (903) 785-1346

Other identifiers 4

IdentifierTypeStateIssuer
5525396OtherTXAETNA
020051077OtherTXMEDICARE RAILROAD
P000279L4MedicaidTX
0019ENOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110113000789 TX Practitioner - General Surgery 0345439873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical School at San Antonio, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2870 Lewis Lane
Suite 228
Paris, TX 75460-9380
Phone (903) 785-1346

Hospital & facility affiliations

  • Paris Regional Medical Center Hospital, Paris, TX, CCN 450196

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy22
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert M. Young, M.D.,P.a. CurrentSince Dec 10, 2010 Accepting new patients

Locations

2870 Lewis Ln
Ste 228
Paris, TX 75460
Phone (903) 785-1346

Organizations & group practices 1

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1255366019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 LEWIS LN",
            "address_2": "STE 228",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609380",
            "telephone_number": "903-785-1346",
            "fax_number": "903-785-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 LEWIS LN",
            "address_2": "SUITE 228",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609380",
            "telephone_number": "903-785-1346",
            "fax_number": "903-785-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "H2919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5525396",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "020051077",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P000279L4",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0019EN",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.