Individual provider Active NPI

Jennifer Hwei-Tan Young, MD

  • Ophthalmology Physician
  • Columbus, OH
National Provider Identifier
1275528010
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35.066621 Issued in OH
Practice address
245 Taylor Station Rd
Columbus, OH 43213-4400
Phone
(614) 866-9134
Fax
(614) 866-6964
NPI assigned
Sep 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35.066621 OH Primary

Addresses

Primary practice location

245 Taylor Station Rd
Columbus, OH 43213-4400

Mailing address

245 Taylor Station Rd
Columbus, OH 43213-4400
Phone (614) 866-9134

Other identifiers 5

IdentifierTypeStateIssuer
043149062-00OtherOHBWC
180031214OtherOHMEDICARE RAILROAD
668809847OtherOHMEDICAL MUTUAL OF OHIO
000000117459OtherOHANTHEM BC BS
0968823MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120328000689 OH Practitioner - Ophthalmology 2466400205 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Canyon Eye Associates, Inc.Group PAC ID 6608824446, 3 clinicians

Practice addresses (Care Compare)

245 Taylor Station Rd
Columbus, OH 43213-4400
Phone (614) 866-9134

Merit-based Incentive Payment System (MIPS)

Final score
84.51 of 100Reported as group
Quality
79.46
Promoting interoperability
88
Improvement activities
40
Cost
78.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.066621OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Eye Associates, Inc. Ophthalmology CurrentSince Jan 1, 1997 Accepting new patients
Eye Physicians, LLC Ophthalmology CurrentSince Dec 1, 2020 Accepting new patients
Eye Physicians, LLC CurrentSince Dec 1, 2020 Accepting new patients
Canyon Eye Optical LLC CurrentSince Aug 20, 2007 Accepting new patients

Locations

150 Taylor Station Rd
Ste 150
Columbus, OH 43213
Phone (614) 367-7704

245 Taylor Station Rd
Columbus, OH 43213
Phone (614) 861-0448

855 W Market St
Lima, OH 45805
Phone (419) 228-7432

885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1275528010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 TAYLOR STATION RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432134400",
            "telephone_number": "614-866-9134",
            "fax_number": "614-866-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 TAYLOR STATION RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432134400",
            "telephone_number": "614-866-9134",
            "fax_number": "614-866-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JENNIFER",
        "middle_name": "HWEI-TAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.066621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "043149062-00",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "180031214",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "668809847",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "000000117459",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0968823",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.