Young Nephrology LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

YOUNG NEPHROLOGY LLC

Practice address

1000 Edgewater PT Ste 303
Lake St Louis, MO 63367-2954

Phone

(636) 265-2225

Fax

(636) 265-0320

NPI assigned

Mar 23, 2026

Organization subpart

No

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

Authorized official

Name

Daniel Orion Young, MDNPI 1184742520

Title

Owner, Ceo

Phone

(314) 598-2442

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Orion Young, MD

  • Nephrology Physician
  • Lake Saint Louis, MO
  • NPI 1184742520
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1477491512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 345",
            "city": "COTTLEVILLE",
            "state": "MO",
            "postal_code": "633380345",
            "telephone_number": "314-598-2442",
            "fax_number": "636-265-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EDGEWATER PT STE 303",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633672954",
            "telephone_number": "636-265-2225",
            "fax_number": "636-265-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG NEPHROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ORION",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "314-598-2442",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208397505",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Anthony Wong, MD
• Megan Dru Woolverton, DPT
• Melissa Wren
• Wuca-Westside Pediatrics LLC
• Kim Damaris York, NURSE PRACTITIONER
• Michael J Zerega, MD
• Ashleigh Elaine Zumwalt

• Nephrology Physician in Lake St Louis, MO
• Providers in Lake St Louis, MO by specialty
• Nephrology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.