Individual provider Active NPI

Joshua Olsen Young, M.D.

  • Ophthalmology Physician
  • Hermitage, TN
National Provider Identifier
1376607259
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
41562 Issued in TN
Practice address
5410 Old Hickory Blvd
Hermitage, TN 37076-2574
Phone
(615) 883-2356
Fax
(615) 872-0863
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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 41562 TN Primary

Addresses

Primary practice location

5410 Old Hickory Blvd
Hermitage, TN 37076-2574

Mailing address

5410 Old Hickory Blvd
Hermitage, TN 37076-2574
Phone (615) 883-2356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20070711001002 TN Practitioner - Ophthalmology 9830299445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Georgia School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Eye Associates P CGroup PAC ID 1052346913, 4 clinicians

Practice addresses (Care Compare)

5410 Old Hickory Blvd
Hermitage, TN 37076-2574
Phone (615) 883-2356

5410 Old Hickory Blvd
Hermitage, TN 37076-2580

Merit-based Incentive Payment System (MIPS)

Final score
93.72 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery351

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41562TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Eye Associates Optical LLC Current Accepting new patients
Summit Eye Associates P C Ophthalmology CurrentSince Jul 1, 2007 Accepting new patients

Locations

5410 Old Hickory Blvd
Hermitage, TN 37076
Phone (615) 883-2356

Interoperability endpoints

  • Direct secure messaging: jyoung@summiteyepc.intellechartdirect.net

Organizations & group practices 2

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1376607259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 OLD HICKORY BLVD",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762574",
            "telephone_number": "615-883-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 OLD HICKORY BLVD",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762574",
            "telephone_number": "615-883-2356",
            "fax_number": "615-872-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JOSHUA",
        "middle_name": "OLSEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "41562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.