Active NPI
Charles R Young, DPM
- Podiatrist
- Farmington Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- CY000630
- Practice address
- 21111 Middlebelt Rd
Farmington Hills, MI 48336-5549 - Phone
- (248) 478-1150
- Fax
- (248) 478-1156
- NPI assigned
- Jun 5, 2006
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | CY000630 | MI | Primary |
Addresses
Primary practice location
21111 Middlebelt Rd
Farmington Hills, MI 48336-5549
Mailing address
21111 Middlebelt Rd
Farmington Hills, MI 48336-5549
Phone (248) 478-1150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1064218 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
28100 Grand River Ave
Farmington Hills, MI 48336-5970
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.37 of 100
- Quality
- 66.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.98
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 67 |
| Removal or shaving of skin growth | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CY000630 | MI | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot Specialists PC | Podiatrist | Current | Accepting new patients |
| Beaumont Medical Group- Specialty Services | Current | Accepting new patients | |
| Foot Specialists PC | Podiatrist | Current | Accepting new patients |
| Botsford General Hospital | Past | Accepting new patients |
Locations
21111 Middlebelt Rd
Farmington Hills, MI 48336
Phone (248) 478-1150
28100 Grand River Ave
Ste 306
Farmington Hills, MI 48336
Phone (248) 476-1010
28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000
28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320
10798 Belleville Rd
Van Buren Township, MI 48111
Phone (734) 697-6671
11885 E 12 Mile Rd
Ste 202B
Warren, MI 48093
Phone (586) 755-4242
Interoperability endpoints
- cyoung1262712@epic00.shdirect.org
Organizations & group practices 4
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.
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
-
- Foot & Ankle Surgery Podiatrist
- Farmington Hills, MI
- NPI 1417013210
-
- Podiatrist
- Belleville, MI
- NPI 1598062036
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267660800000",
"number": "1467491720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21111 MIDDLEBELT RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483365549",
"telephone_number": "248-478-1150",
"fax_number": "248-478-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21111 MIDDLEBELT RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483365549",
"telephone_number": "248-478-1150",
"fax_number": "248-478-1156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "CHARLES",
"middle_name": "R",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2010-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "CY000630",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1064218",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.