Individual provider Active NPI

James R Young, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Nacogdoches, TX
National Provider Identifier
1427024074
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
K4616 Issued in TX
Practice address
320 Russell Blvd
Nacogdoches, TX 75965-1240
Phone
(936) 559-9019
Fax
(936) 462-7876
NPI assigned
Feb 24, 2006
Last updated
May 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X K4616 TX Primary

Addresses

Primary practice location

320 Russell Blvd
Nacogdoches, TX 75965-1240

Mailing address

PO Box 632189
Nacogdoches, TX 75963-2189
Phone (936) 559-9019

Other identifiers 3

IdentifierTypeStateIssuer
0045LBOtherTXBCBS
038536102MedicaidTX
8BF233OtherTXBCBS IND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040701000114 TX Practitioner - Thoracic SurgeryPractitioner - Cardiac SurgeryPractitioner - General Surgery 0143207845 Reassigns benefits to 1 organization
Practice locations: Nacogdoches, TX

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: General Surgery
Education
Ohio State University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

320 Russell Blvd
Nacogdoches, TX 75965-1240
Phone (936) 559-9019

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

4920 NE Stallings Dr
Nacogdoches, TX 75965-1254
Phone (936) 568-3541

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy56
Hernia repair - groin (open)11
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux34
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heart to Heart Cardiovascular Associates CurrentSince May 21, 2023 Accepting new patients
BHS Physicians Network, Inc CurrentSince Aug 21, 2023 Accepting new patients
BHS Physicians Network, Inc CurrentSince Aug 21, 2023 Accepting new patients
Donald E. Cagle, M.D. PastSince May 21, 2023 Accepting new patients
Blaine Randall Blakestad MD PA Past Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

320 Russell Blvd
Nacogdoches, TX 75965
Phone (936) 559-9019

409 Russell Blvd
Ste A
Nacogdoches, TX 75965
Phone (936) 560-4327

4800 NE Stallings Dr
Ste 1600
Nacogdoches, TX 75965
Phone (936) 559-9019

4920 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 568-3441

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: james.young.1@1438.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1427024074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632189",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759632189",
            "telephone_number": "936-559-9019",
            "fax_number": "936-462-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 RUSSELL BLVD",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651240",
            "telephone_number": "936-559-9019",
            "fax_number": "936-462-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "K4616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0045LB",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038536102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IND",
            "identifier": "8BF233",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.