NPIMap

Individual provider Active NPI

Keith R Young, MD

  • Pulmonary Disease Physician
  • Gettysburg, PA
National Provider Identifier
1629089859
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD443901 Issued in PA
Practice address
40 V Twin Dr Ste 205
Gettysburg, PA 17325-7878
Phone
(717) 339-2790
Fax
(717) 798-3162
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X MD443901 PA
Pulmonary Disease Physician 207RP1001X MD443901 PA Primary

Addresses

Primary practice location

40 V Twin Dr Ste 205
Gettysburg, PA 17325-7878

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 339-2790

Other identifiers 1

IdentifierTypeStateIssuer
1026294700003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110923000073 PA Practitioner - Pulmonary Disease 7719993203 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Jefferson Medical College of Thomas Jefferson University, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

147 Gettys St
Gettysburg, PA 17325-2534
Phone (717) 334-2121

25 Monument Rd
York, PA 17403-5073

2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214

501 E Main St
Waynesboro, PA 17268-2353

914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Dec 18, 2019 Accepting new patients
Pinnacle Health Medical Services CurrentSince Feb 9, 2022 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Feb 9, 2022 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Wellspan Medical Group CurrentSince Dec 18, 2019 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Dec 1, 2014 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Pulmonary Disease CurrentSince Dec 1, 2014 Accepting new patients

Locations

40 V Twin Dr
Ste 205
Gettysburg, PA 17325
Phone (717) 339-2790

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

Interoperability endpoints

  • Direct secure messaging: kyoung228971@wellspan.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 9

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1629089859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-339-2790",
            "fax_number": "717-798-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 V TWIN DR STE 205",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173257878",
            "telephone_number": "717-339-2790",
            "fax_number": "717-798-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KEITH",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "PA",
            "license": "MD443901",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD443901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026294700003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

Verify at the official NPI Registry.