Derick Wayne Young, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L1502 Issued in TX

Practice address

5301 39TH St
Groves, TX 77619-2911

Phone

(409) 962-4272

Fax

(409) 962-2451

NPI assigned

Jul 22, 2005

Last updated

Feb 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Family Practice

Education

University of Texas Medical School at San Antonio, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: derick.young@wellmed.eclinicaldirectplus.com

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.

• Wellmed Medical Group, PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1437156486

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Wellmed Medical Group, P.a.

  dba WellMed Senior Clinic at Ben White

  • Family Medicine Physician
  • Austin, TX
  • NPI 1437457710
  NPD
• Wellmed Medical Group, P.a.

  dba WellMed Doctor's Hospital Senior Clinic

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1740588243
  NPD
• Community Medicine Associates

  dba University Medicine Associates

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1245313329
  NPD (past)

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1528068350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 39TH ST",
            "city": "GROVES",
            "state": "TX",
            "postal_code": "776192911",
            "telephone_number": "409-962-4272",
            "fax_number": "409-962-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 39TH ST",
            "city": "GROVES",
            "state": "TX",
            "postal_code": "776192911",
            "telephone_number": "409-962-4272",
            "fax_number": "409-962-2451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Nederland Ave",
            "address_purpose": "LOCATION",
            "city": "Nederland",
            "state": "TX",
            "postal_code": "776276002",
            "country_code": "US",
            "telephone_number": "409-519-7525",
            "fax_number": "409-519-7526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DERICK",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L1502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICAID",
            "identifier": "144036402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICARE",
            "identifier": "TXB124736",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Weeks, PT
• Ronald Weintraub, M.D.
• Lynsie Whitney, LCSW
• Christopher Stephen Williams, NP-C
• Winnie-Stowell Hospital District (Oak Grove Nursing Home)

• Family Medicine Physician in Groves, TX
• Providers in Groves, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.

Verify at the official NPI Registry.