Active NPI
Thomas P Young, D.O.
- Internal Medicine Physician
- Creston, IA
National Provider Identifier
1386631828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 02185
- Practice address
- 1700 W Townline St
Suite 1
Creston, IA 50801-1054 - Phone
- (641) 782-6440
- Fax
- (641) 782-6515
- NPI assigned
- Sep 30, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 02185 | IA | Primary |
Addresses
Primary practice location
1700 W Townline St
Suite 1
Creston, IA 50801-1054
Mailing address
1411 165TH St
Creston, IA 50801-8348
Phone (641) 344-0887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1031757 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.86 of 100
- Quality
- 81.95
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.6
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adair County Memorial Hospital | Current | Accepting new patients | |
| Knoxville Community Hospital Inc | Current | Accepting new patients | |
| Knoxville Community Hospital Inc | Internal Medicine | Current | Accepting new patients |
| Knoxville Community Hospital Inc | Current | Accepting new patients | |
| Adair County Memorial Hospital | Current | Accepting new patients |
Locations
609 SE Kent St
Greenfield, IA 50849
Phone (641) 743-2123
1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/f904b187-16a4-4582-8ea3-887d87de0011/
Organizations & group practices 5
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.
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Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555891200000",
"number": "1386631828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 165TH ST",
"city": "CRESTON",
"state": "IA",
"postal_code": "508018348",
"telephone_number": "641-344-0887",
"fax_number": "641-782-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 W TOWNLINE ST",
"address_2": "SUITE 1",
"city": "CRESTON",
"state": "IA",
"postal_code": "508011054",
"telephone_number": "641-782-6440",
"fax_number": "641-782-6515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "THOMAS",
"middle_name": "P",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2019-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "02185",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1031757",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Creston, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.