Individual provider Active NPI

Paul J. Young-Hyman, MD

  • Cardiovascular Disease Physician
  • Glen Burnie, MD
National Provider Identifier
1376508994
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0026664 Issued in MD
Practice address
7845 Oakwood Road
Suite 106
Glen Burnie, MD 21061-4256
Phone
(410) 768-0919
Fax
(410) 760-5932
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0026664 MD Primary

Addresses

Primary practice location

7845 Oakwood Road
Suite 106
Glen Burnie, MD 21061-4256

Mailing address

7845 Oakwood Road
Suite 106
Glen Burnie, MD 21061-4256
Phone (410) 768-0919

Other identifiers 1

IdentifierTypeStateIssuer
315391600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20100813000022 MD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5496753576 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0026664MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Baltimore Washington Medical Center Inc. Current Accepting new patients
Baltimore Washington Medical Center Inc. CurrentSince May 1, 2014 Accepting new patients
University of Maryland Baltimore Washington Heart Associates LLC Cardiovascular Disease CurrentSince Sep 1, 2018 Accepting new patients
Baltimore Washington Medical Center Inc. CurrentSince May 1, 2014 Accepting new patients
Harbor Hospital Past Accepting new patients
North Arundel Cardiology Services, LLC Cardiovascular Disease Past Accepting new patients

Locations

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

300 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4940

7845 Oakwood Rd
Ste 100
Glen Burnie, MD 21061
Phone (410) 760-1010

7845 Oakwood Rd
#S106
Glen Burnie, MD 21061
Phone (410) 760-5100

7845 Oakwood Rd
Ste 106
Glen Burnie, MD 21061
Phone (410) 760-5100

Organizations & group practices 8

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1376508994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7845 OAKWOOD ROAD",
            "address_2": "SUITE 106",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614256",
            "telephone_number": "410-768-0919",
            "fax_number": "410-760-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7845 OAKWOOD ROAD",
            "address_2": "SUITE 106",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614256",
            "telephone_number": "410-768-0919",
            "fax_number": "410-760-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG-HYMAN",
        "first_name": "PAUL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0026664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315391600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.