Active NPI
Andrew L. Young, MD
- Diagnostic Radiology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME111851
- Practice address
- 100 South Ashley Drive
Suite 1500
Tampa, FL 33602-5318 - Phone
- (813) 899-6220
- Fax
- (813) 985-8006
- NPI assigned
- Aug 31, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 220245 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | A95087 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | ME111851 | FL | Primary |
Addresses
Primary practice location
100 South Ashley Drive
Suite 1500
Tampa, FL 33602-5318
Mailing address
100 South Ashley Drive
Suite 1500
Tampa, FL 33602-5318
Phone (813) 899-6220
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| '011918500 | Medicaid | FL | |
| 2236171 | Other | MA | FIRST HEALTH |
| 30204317 | Other | NH | NH MEDICAID |
| 5540164 | Other | MA | FIRST HEALTH CCN |
| P00196700 | Other | MA | RAIL ROAD MEDICARE |
| 68312 | Other | MA | HEALTHY START |
| 68312 | Other | MA | CHILDREN'S MEDICAL |
| 0108933Y0MA01 | Other | NH | NH BLUE SHIELD |
| 7800325 | Other | MA | CIGNA |
| 971089 | Other | MA | NETWORK HEALTH PLAN |
| 2045150 | Medicaid | MA | |
| 469315 | Other | MA | TUFTS HEALTH PLAN |
| 90532 | Other | MA | FALLON |
| AA17331 | Other | MA | HARVARD PILGRIM HEALTH CA |
| J27411 | Other | MA | BLUE CROSS/BLUE SHIELD |
| 3551415 | Other | MA | AETNA/US HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1002 S Old Dixie Hwy
Jupiter, FL 33458-7202
1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
1210S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 747-2234
1240 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 263-4400
1335 W Indiantown Rd
Jupiter, FL 33458-4631
Phone (561) 263-7025
5430 Military TRL
Jupiter, FL 33458-2873
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220245 | MA | MD | Specialist |
| A95087 | CA | MD | Diagnostic Radiology Physician |
| ME111851 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohi West Medical Group, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Physician Solutions of West Florida, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Jupiter Medical Center Physicians Group | Current | Accepting new patients | |
| Jupiter Medical Center Physicians Group Inc | Current | Accepting new patients | |
| Jupiter Medical Center Physicians Group Inc | Current | Accepting new patients | |
| Central Florida Imaging Associates | Diagnostic Radiology | Past | Accepting new patients |
| Santa Barbara Radiology Medical Group Inc | Diagnostic Radiology | Past | Accepting new patients |
| Largo Radiology Consultants | Past | Accepting new patients | |
| South Bay Hospital Outpatient Diagnostic/Imaging Center | Diagnostic Radiology | Past | Accepting new patients |
Locations
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481
1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073
1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695
1240 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 263-4400
701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- ayoung27609@jupitermedicalcenter.direct-ci.com
Organizations & group practices 9
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.
-
- Cardiovascular Disease Physician
- Jupiter, FL
- NPI 1396992475
-
- Diagnostic Radiology Physician
- Saint Petersburg, FL
- NPI 1104205046
-
- Urgent Care Clinic/Center
- Jupiter, FL
- NPI 1730522921
-
- Pediatric Surgery Physician
- Jupiter, FL
- NPI 1093344376
-
- Radiology Clinic/Center
- St Petersburg, FL
- NPI 1285240192
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Davenport, FL
- NPI 1912246455
-
- Radiology Clinic/Center
- Largo, FL
- NPI 1407131055
-
- Diagnostic Radiology Physician
- Sun City Center, FL
- NPI 1558528513
-
- Diagnostic Radiology Physician
- Santa Barbara, CA
- NPI 1073505715
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427932800000",
"number": "1447243878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SOUTH ASHLEY DRIVE",
"address_2": "SUITE 1500",
"city": "TAMPA",
"state": "FL",
"postal_code": "336025318",
"telephone_number": "813-899-6220",
"fax_number": "813-985-8006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SOUTH ASHLEY DRIVE",
"address_2": "SUITE 1500",
"city": "TAMPA",
"state": "FL",
"postal_code": "336025318",
"telephone_number": "813-899-6220",
"fax_number": "813-985-8006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "ANDREW",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2015-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "220245",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A95087",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME111851",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "'011918500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2236171",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NH MEDICAID",
"identifier": "30204317",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH CCN",
"identifier": "5540164",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00196700",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY START",
"identifier": "68312",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDREN'S MEDICAL",
"identifier": "68312",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NH BLUE SHIELD",
"identifier": "0108933Y0MA01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7800325",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH PLAN",
"identifier": "971089",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2045150",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "469315",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "90532",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH CA",
"identifier": "AA17331",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "J27411",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/US HEALTHCARE",
"identifier": "3551415",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.