Kavon Lynette Young, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N6784 Issued in TX

Practice address

412 Telephone Rd
Houston, TX 77023

Phone

(713) 926-6229

NPI assigned

Mar 24, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Family PracticeAlso: Geriatric Medicine

Education

University of Texas Medical School at Houston, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

El Centro de CorazonGroup PAC ID 0345216214, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kyoung107579@direct.ochin.org

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• El Centro de Corazon

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1245556885

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• El Centro de Corazon

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1700858446

  Corporate Director

  CMS ownership
• El Centro de Corazon

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1932171667

  Corporate Director

  CMS ownership

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.

• El Centro de Corazon

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1932171667
  Medicare reassignment Care Compare group NPD
• El Centro de Corazon

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1700858446
  NPD

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1295977130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 TELEPHONE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77023",
            "telephone_number": "713-926-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 TELEPHONE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77023",
            "telephone_number": "713-926-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KAVON",
        "middle_name": "LYNETTE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-24",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N6784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Lee Young, P.A.
• Jennifer Rene Young
• Judy H Young
• Kasey Rulander Young, CRNA
• Katina Young
• Ken H Young, MD
• Kimberly Young, FNP-C
• Kimillya Shamequa Simone Young
• Kyee Altranice Young, PHD
• Mallory Nicole Young, PA

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.