Individual provider Active NPI

Peter C Young, MD

  • Diagnostic Radiology Physician
  • Cleveland, OH
National Provider Identifier
1609894880
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35-072144 Issued in OH
Practice address
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone
(216) 844-1700
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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 35-072144 OH Primary

Addresses

Primary practice location

11100 Euclid Ave
Cleveland, OH 44106-1716

Mailing address

3605 Warrensville Center Rd
Shaker Heights, OH 44122-5203
Phone (440) 684-5816

Other identifiers 10

IdentifierTypeStateIssuer
0304914OtherOHBCMH
2103477MedicaidOH
P00358878OtherOHRAILROAD MEDICARE
000000203680OtherOHUNISON
000000503578OtherOHANTHEM
1010340150001MedicaidPA
1609894880OtherMIMI MEDICAID
732116OtherOHBUCKEYE
5253604OtherOHAETNA
364159OtherOHWELLCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20061115000214 OH Practitioner - Diagnostic Radiology 8628076254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

1000 Auburn Dr
Beachwood, OH 44122-4317
Phone (216) 285-5028

11100 Euclid Ave
Cleveland, OH 44106-1716

13207 Ravenna Rd
Chardon, OH 44024-7032
Phone (440) 285-6000

158 W Main Rd
Conneaut, OH 44030-2039
Phone (440) 593-1131

15976 E High St
Middlefield, OH 44062-9474
Phone (440) 632-0408

29000 Ctr Ridge Rd
Westlake, OH 44145-5219
Phone (440) 250-8660

32800 Lorain Rd
North Ridgeville, OH 44039-3430
Phone (440) 406-5550

36000 Euclid Ave
Willoughby, OH 44094-4625
Phone (216) 844-3800

3999 Richmond Rd
Beachwood, OH 44122-6046
Phone (216) 593-5500

870 W Main St
Geneva, OH 44041-1219
Phone (216) 286-6242

9000 Mentor Ave
Mentor, OH 44060-4496
Phone (440) 205-4505

960 Clague Rd
Suite 1600
Westlake, OH 44145-1586
Phone (216) 844-7700

960 Clague Rd
Suite 2470
Westlake, OH 44145-1585
Phone (216) 844-1988

Hospital & facility affiliations

  • University Hospitals Ahuja Medical Center Hospital, Beachwood, OH, CCN 360359
  • Lake Health Hospital, Concord, OH, CCN 360098
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • University Hospitals - Elyria Medical Center Hospital, Elyria, OH, CCN 360145
  • Parma Community General Hospital Hospital, Parma, OH, CCN 360041

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-072144OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
Lumina Imaging Diagnostic Radiology CurrentSince May 3, 2023 Accepting new patients
The Metrohealth System CurrentSince Dec 1, 2019 Accepting new patients
University Hospitals Medical Group Inc Diagnostic Radiology CurrentSince Jan 1, 2007 Accepting new patients
The Metrohealth System Diagnostic Radiology CurrentSince Dec 1, 2019 Accepting new patients
Multicare Health System Past Accepting new patients
University Radiologists of Cleveland Inc Diagnostic Radiology Past Accepting new patients
University Imaging Inc Diagnostic Radiology Past Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

44 Blaine Ave
Cleveland, OH 44146
Phone (330) 528-3593

11100 Euclid Ave
Cleveland Heights, OH 44106

20800 Harvard Rd
Fl 2
Highland Hills, OH 44122
Phone (216) 358-2156

3605 Warrensville Center Rd
Shaker Heights, OH 44122

1611 S Green Rd
Ste 9
South Euclid, OH 44121
Phone (216) 382-7745

1611 S Green Rd
South Euclid, OH 44121
Phone (216) 286-6295

Interoperability endpoints

  • Direct secure messaging: pyoung30292@ehrdirect.uhhospitals.org
  • Direct secure messaging: pyoung175447@direct.metrohealth.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1609894880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 WARRENSVILLE CENTER RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225203",
            "telephone_number": "440-684-5816",
            "fax_number": "440-684-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "PETER",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35-072144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCMH",
            "identifier": "0304914",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2103477",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00358878",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000203680",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000503578",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010340150001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI MEDICAID",
            "identifier": "1609894880",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE",
            "identifier": "732116",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5253604",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "364159",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.