Individual provider Active NPI

Martin Kenneth Young, MD

  • Pediatrics Physician
  • Ocala, FL
National Provider Identifier
1417953381
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME180019 Issued in FL
Practice address
221 SW 11TH St
Ocala, FL 34471-0968
Phone
(352) 671-2320
NPI assigned
Jun 24, 2005
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD22188 OR
Pediatrics Physician 208000000X ME180019 FL Primary

Addresses

Primary practice location

221 SW 11TH St
Ocala, FL 34471-0968

Mailing address

221 SW 11TH St
Ocala, FL 34471-0968
Phone (352) 671-2320

Other practice location 1

2940 Doctors Park Dr
Children and Adolescents Clinic
Medford, OR 97504
Phone (541) 779-1300

Other identifiers 1

IdentifierTypeStateIssuer
138148MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

221 SW 11TH St
Ocala, FL 34471-0968

900 Hope Way
Altamonte Springs, FL 32714-1502

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME180019FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rogue Valley Physicians PC Pediatrics CurrentSince Mar 25, 2014 Accepting new patients
Rogue Valley Physicians Pediatrics CurrentSince Mar 25, 2014 Accepting new patients
Rogue Valley Childrens Physicians Pediatrics Past Accepting new patients

Locations

2900 Doctors Park Dr
Medford, OR 97504
Phone (541) 282-2200

2900 Doctors Park Dr
Ste 250
Medford, OR 97504
Phone (541) 282-2208

2940 Doctors Park Dr
Medford, OR 97504
Phone (541) 779-1300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1417953381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 SW 11TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710968",
            "telephone_number": "352-671-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 SW 11TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710968",
            "telephone_number": "352-671-2320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2940 Doctors Park Dr",
            "address_2": "Children and Adolescents Clinic",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "97504",
            "country_code": "US",
            "telephone_number": "541-779-1300",
            "fax_number": "541-779-9171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MARTIN",
        "middle_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD22188",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME180019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138148",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.