Individual provider Active NPI

Kyle Young

  • Diagnostic Radiology Physician
  • Greensboro, NC
National Provider Identifier
1588610489
Registry record updated Sep 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
16486 Issued in NC
Practice address
1317 N Elm St
Suite 1B
Greensboro, NC 27401-1033
Phone
(336) 274-4285
Fax
(336) 268-9062
NPI assigned
May 25, 2006
Last updated
Sep 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 16486 NC Primary

Addresses

Primary practice location

1317 N Elm St
Suite 1B
Greensboro, NC 27401-1033

Mailing address

PO Box 13005
Greensboro, NC 27415-3005

Other identifiers 6

IdentifierTypeStateIssuer
70523OtherNCMEDCOST
89811OtherNCBCBS
8989811MedicaidNC
1600284OtherNCUNITED HEALTHCARE
2087OtherNCPARTNERS
89796OtherNCBCBS OF NC DRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16486NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences PastSince Sep 21, 2010 Accepting new patients
Piedmont Area Radiology, LLC Diagnostic Radiology Past Accepting new patients
Diagnostic Radiology & Imaging, LLC Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
Diagnostic Radiology & Imaging, LLC Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
Diagnostic Radiology & Imaging, LLC Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789862400000",
    "number": "1588610489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13005",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274153005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 N ELM ST",
            "address_2": "SUITE 1B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011033",
            "telephone_number": "336-274-4285",
            "fax_number": "336-268-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "16486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "70523",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89811",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8989811",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1600284",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "2087",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC DRI",
            "identifier": "89796",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.