Kenneth Aaron Yung, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

18641 Issued in MS

Practice address

2679 Crane Ridge Dr
Suite F
Jackson, MS 39216-4997

Phone

(601) 362-7476

Fax

(601) 362-7460

NPI assigned

May 30, 2006

Last updated

Feb 1, 2011By 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 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Pediatric Medicine

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AIHIBD/Endpoint/AIHIBD
• Direct secure messaging: kenneth.yung@cccac.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.

• McFatter Family Medical, LLC

  • Urgent Care Clinic/Center
  • Ridgeland, MS
  • NPI 1811660293
  Medicare reassignment NPD
• Capital City Children and Adolescent Clinic

  • Pediatrics Physician
  • Jackson, MS
  • NPI 1912088790
  NPD (past)
• Central Mississippi Civic Improvement Association, Inc.

  dba Jackson-Hinds Comprehensive Health Center

  • Federally Qualified Health Center (FQHC)
  • Jackson, MS
  • NPI 1154424554
  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1598712994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9228",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392869228",
            "telephone_number": "601-362-7476",
            "fax_number": "601-362-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2679 CRANE RIDGE DR",
            "address_2": "SUITE F",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164997",
            "telephone_number": "601-362-7476",
            "fax_number": "601-362-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUNG",
        "first_name": "KENNETH",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "18641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03078371",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Malaz Yousif
• Gabriella Regina Yray Decker
• Fangzhou Yu, PH.D.
• Katelyn Renee Yucatonis, CRNA
• Samia Yunas
• Bulem Yuzugullu Tutunculer, DO
• Z3 Diagnostics, LLC (Z3 Diagnostics)
• Steven E Zachow, MD
• Savannah Lee Zachry
• Yousaf Zafar, M.D

• Pediatrics Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.