Richard S Young, MD
Individual provider Active NPI Diagnostic Radiology Physician · Dededo, GU
NPI 1528058161 · NPPES record last updated Jan 17, 2017
Key facts
- NPI
- 1528058161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- M-1965 (GU)
- Practice address
- 133 Route 3
Dededo, GU 96929-6911 - Phone
- (671) 645-5500
- Fax
- (671) 645-5549
- NPI assigned
- Oct 25, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- University of Michigan Medical School, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Suburban/NRH Medical Rehabilitation Inc
Practice addresses (Care Compare)
6410 Rockledge Dr
Bethesda, MD 20817-1844
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, GU
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080229000326 | DC | Practitioner - Diagnostic Radiology | 0244255891 | Reassigns benefits to 1 organization |
| I20160118000908 | GU | Practitioner - Diagnostic Radiology | 0244255891 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-1965 | GU | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guam Memorial Hospital | Current |
Accepting new patients | |
| Guam Healthcare Development Incorporated | Current |
Accepting new patients | |
| Guam Memorial Hospital | Current |
Accepting new patients | |
| Washington Brain and Spine Institute PC | Past | Accepting new patients | |
| Radiology Diagnostic Centers, Inc | Past | Accepting new patients | |
| Medstar Medical Group Radiology, LLC | Diagnostic Radiology | Past |
Accepting new patients |
Locations
133 Route 3
Dededo, GU 96929
Phone (671) 645-5500
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555
850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD13254 | DC | |
| Vascular & Interventional Radiology Physician | 2085R0204X | M-1965 | GU | |
| Diagnostic Radiology Physician | 2085R0202X | M-1965 | GU | Yes |
Addresses
Primary practice location
133 Route 3
Dededo, GU 96929-6911
Mailing address
133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500
Other providers in Dededo, GU
- Vision Express, USA, Inc
- David Nicholas Whitehead
- Roseanne Marie Quenga Williams
- Yoon Chiropractic P.C.
- Jinmo Yoon
All providers in Dededo, GU · Diagnostic Radiology Physician in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.