Individual provider Active NPI

Jacob Anderson Young, MD

  • Emergency Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1265096259
Registry record updated Dec 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
T1269 Issued in TX
Practice address
1500 S Main St
Fort Worth, TX 76104-4917
Phone
(817) 702-8840
NPI assigned
Apr 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X T1269 TX Primary

Addresses

Primary practice location

1500 S Main St
Fort Worth, TX 76104-4917

Mailing address

1500 S Main St
Fort Worth, TX 76104-4917

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
I20210922002841 TX Practitioner - Emergency Medicine 2961809645 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Century Integrated Partners, IncGroup PAC ID 6406151703, 330 clinicians

Practice addresses (Care Compare)

1901 N Macarthur Blvd
Baylor Scott and White Irving
Irving, TX 75061-2220
Phone (972) 579-8100

Hospital & facility affiliations

  • Baylor Scott & White Medical Center at Irving Hospital, Irving, TX, CCN 450079
  • Baylor Scott & White Medical Center - Centennial Hospital, Frisco, TX, CCN 450885

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.56
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.43 of 100Reported as group
Quality
93.73
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T1269TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Integrative Emergency Services Physician Group PA Emergency Medicine CurrentSince Sep 15, 2021 Accepting new patients

Locations (25 of 28)

4019 Interstate 45 N
Conroe, TX 77304
Phone (936) 856-1100

3500 Gaston Ave
Dallas, TX 75246

2201 W Lampasas St
Ennis, TX 75119
Phone (469) 256-2458

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1500 S Main St
Fl 1
Ft Worth, TX 76104
Phone (817) 702-1451

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

7200 Cambridge St
#B
Houston, TX 77030
Phone (713) 798-3498

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

1901 N MacArthur Blvd
Irving, TX 75061
Phone (972) 484-5192

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

18057 Highway 105 W
Ste 220
Montgomery, TX 77356
Phone (936) 228-9489

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

4500 E Sam Houston Pkwy S
Ste 235
Pasadena, TX 77505

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

22003 Southwest Fwy
Richmond, TX 77469
Phone (281) 341-2000

1705 Jackson St
Richmond, TX 77469
Phone (281) 341-3000

511 E Hospital St
San Augustine, TX 75972
Phone (936) 275-3446

1317 Lake Pointe Pkwy
Sugar Land, TX 77478
Phone (281) 277-1101

17400 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-4055

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 3

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": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670716800000",
    "number": "1265096259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-702-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JACOB",
        "middle_name": "ANDERSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-25",
        "last_updated": "2022-12-11",
        "certification_date": "2022-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "T1269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.