Active NPI
Diana Young, M.D.
- Pediatrics Physician
- St Petersburg, FL
National Provider Identifier
1346432812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME106463
- Practice address
- 501 6TH Ave S
Box 6941
St Petersburg, FL 33701-4634 - Phone
- (727) 767-3051
- Fax
- (727) 767-4970
- NPI assigned
- Aug 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME106463 | FL | Primary |
Addresses
Primary practice location
501 6TH Ave S
Box 6941
St Petersburg, FL 33701-4634
Mailing address
501 6TH Ave S
Box 6941
Saint Petersburg, FL 33701-4634
Phone (727) 767-3051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002031200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- University of South Florida College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 5TH St S
Suite 5
St Petersburg, FL 33701-4804
Phone (727) 727-4429
Hospital & facility affiliations
- Johns Hopkins All Children'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- dyoung733672@direct.hopkinsmedicine.org
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.
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1770532798
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- St Petersburg, FL
- NPI 1427114099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298937600000",
"number": "1346432812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 6TH AVE S",
"address_2": "BOX 6941",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337014634",
"telephone_number": "727-767-3051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 6TH AVE S",
"address_2": "BOX 6941",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014634",
"telephone_number": "727-767-3051",
"fax_number": "727-767-4970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "DIANA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-17",
"last_updated": "2011-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME106463",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002031200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.