Individual provider Active NPI

Kyle Wilson Young, MD

  • Diagnostic Radiology Physician
  • Winchester, VA
National Provider Identifier
1326036922
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101102728 Issued in VA
Practice address
1840 Amherst St
Winchester, VA 22601-2808
Phone
(540) 536-8750
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101102728 VA Primary

Addresses

Primary practice location

1840 Amherst St
Winchester, VA 22601-2808

Mailing address

PO Box 880
Lima, OH 45802-0880

Other practice location 1

500 Hospital Dr
Warrenton, VA 20186-3027
Phone (540) 316-5000

Other practice location 2

1 Healthy Way
Berkeley Springs, WV 25411-7463
Phone (304) 258-6510

Other practice location 3

363 Sunrise Blvd
Romney, WV 26757-4607
Phone (304) 822-4561

Other practice location 4

160 Exeter Dr Ste 104
Winchester, VA 22603-8614
Phone (540) 545-4674

Other practice location 5

200 Memorial Dr
Luray, VA 22835-1000
Phone (540) 743-4561

Other practice location 6

759 S Main St
Woodstock, VA 22664-1154
Phone (540) 459-1100

Other practice location 7

160 Exeter Dr Ste 103
Winchester, VA 22603-8614
Phone (540) 686-1600

Other practice location 8

1000 N Shenandoah Ave
Front Royal, VA 22630-3547
Phone (540) 636-0300

Other practice location 9

120 Campus Dr Ste 121
Martinsburg, WV 25404-7552
Phone (681) 242-3713

Other identifiers 4

IdentifierTypeStateIssuer
1809401000MedicaidWV
007248857MedicaidVA
402128200MedicaidMD
P00006925OtherRAILROAD MEDICARE

Electronic endpoints 10

TypeEndpointUseAffiliation
Direct Messaging Address kyoung124214@soc.inova.org
Direct Messaging Address kyoung124214@soc.inova.org
Direct Messaging Address kyoung124214@soc.inova.org
Direct Messaging Address kyoung124214@soc.inova.org
Direct Messaging Address kyoung124214@soc.inova.org
Direct Messaging Address kyoung124214@soc.inova.org
Direct Messaging Address kyoung124214@soc.inova.org
Direct Messaging Address kyoung124214@soc.inova.org
Direct Messaging Address kyoung124214@soc.inova.org
Direct Messaging Address kyoung124214@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 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
I20040616000192 VA Practitioner - Diagnostic Radiology 1153305206 Reassigns benefits to 6 organizations
I20140106001010 WV Practitioner - Diagnostic Radiology 1153305206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Virginia School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winchester Radiologists PCGroup PAC ID 7113915281, 77 clinicians

Practice addresses (Care Compare)

1 Healthy Way
Berkeley Springs, WV 25411-7463
Phone (304) 258-6510

160 Exeter Dr
Winchester, VA 22603-8614

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8750

200 Memorial Dr
Luray, VA 22835-1000
Phone (540) 743-4561

351 Valley Health Way
Front Royal, VA 22630-6480
Phone (540) 636-0300

759 S Main St
Woodstock, VA 22664-1154
Phone (540) 459-1100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101102728VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Memorial Hospital, Inc. CurrentSince Jun 15, 2019 Accepting new patients
Page Memorial Hospital, Inc. Current Accepting new patients
Warren Memorial Hospital, Inc. Current Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Sep 25, 2018 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince Sep 25, 2018 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince Sep 25, 2018 Accepting new patients
Valley Physician Enterprise, Inc CurrentSince Sep 1, 2014 Accepting new patients
Shenandoah Memorial Hospital, Inc. Current Accepting new patients
Medical Circle, LLC CurrentSince Apr 28, 2025 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Jun 15, 2019 Accepting new patients
Winchester Radiologists PC Diagnostic Radiology CurrentSince Jul 1, 2003 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Sep 25, 2018 Accepting new patients
Page Memorial Hospital Inc. Past Accepting new patients
Shenandoah Memorial Hospital, Inc. Past Accepting new patients

Locations

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

200 Memorial Dr
Luray, VA 22835
Phone (540) 743-4561

125 Memorial Dr
Luray, VA 22835
Phone (540) 743-2282

9166 N Congress St
Ste 2
New Market, VA 22844
Phone (540) 459-1515

505 Williams Ave
Shenandoah, VA 22849
Phone (540) 652-9100

235 Medical Dr
Stanley, VA 22851
Phone (540) 778-3484

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

220 Campus Blvd
Ste 200
Winchester, VA 22601
Phone (540) 536-0307

160 Exeter Dr
Ste 101
Winchester, VA 22603
Phone (540) 431-3600

160 Exeter Dr
Ste 103
Winchester, VA 22603
Phone (541) 686-1600

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

160 Exeter Dr
Ste 104
Winchester, VA 22603
Phone (540) 431-3600

300 Campus Blvd
Winchester, VA 22601
Phone (540) 536-3120

240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

1 Healthy Way
Berkeley Springs, WV 25411
Phone (304) 258-1234

120 Campus Dr
Ste 121
Martinsburg, WV 25404
Phone (681) 242-3713

363 Sunrise Blvd
Romney, WV 26757
Phone (304) 822-4561

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1326036922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458020880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012808",
            "telephone_number": "540-536-8750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Warrenton",
            "state": "VA",
            "postal_code": "201863027",
            "country_code": "US",
            "telephone_number": "540-316-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Healthy Way",
            "address_purpose": "LOCATION",
            "city": "Berkeley Springs",
            "state": "WV",
            "postal_code": "254117463",
            "country_code": "US",
            "telephone_number": "304-258-6510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "363 Sunrise Blvd",
            "address_purpose": "LOCATION",
            "city": "Romney",
            "state": "WV",
            "postal_code": "267574607",
            "country_code": "US",
            "telephone_number": "304-822-4561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Exeter Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226038614",
            "country_code": "US",
            "telephone_number": "540-545-4674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Luray",
            "state": "VA",
            "postal_code": "228351000",
            "country_code": "US",
            "telephone_number": "540-743-4561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "759 S Main St",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "VA",
            "postal_code": "226641154",
            "country_code": "US",
            "telephone_number": "540-459-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Exeter Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226038614",
            "country_code": "US",
            "telephone_number": "540-686-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 N Shenandoah Ave",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226303547",
            "country_code": "US",
            "telephone_number": "540-636-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Campus Dr Ste 121",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254047552",
            "country_code": "US",
            "telephone_number": "681-242-3713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KYLE",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101102728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1809401000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007248857",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402128200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00006925",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyoung124214@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "160 Exeter Dr Ste 103",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226038614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyoung124214@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "200 Memorial Dr",
            "city": "Luray",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228351000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyoung124214@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "759 S Main St",
            "city": "Woodstock",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226641154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyoung124214@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "160 Exeter Dr Ste 104",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226038614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyoung124214@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyoung124214@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "500 Hospital Dr",
            "city": "Warrenton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201863027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyoung124214@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "363 Sunrise Blvd",
            "city": "Romney",
            "state": "WV",
            "country_code": "US",
            "postal_code": "267574607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyoung124214@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "120 Campus Dr Ste 121",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254047552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyoung124214@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "1 Healthy Way",
            "city": "Berkeley Springs",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254117463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyoung124214@soc.inova.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "1000 N Shenandoah Ave",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226303547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.