Individual provider Active NPI

CHI G Young, MD

  • Family Medicine Physician
  • Gainesville, VA
National Provider Identifier
1649430349
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0116020088 Issued in VA
Practice address
8078 Crescent Park Drive
Suite 101
Gainesville, VA 20155
Phone
(540) 636-2028
NPI assigned
Jun 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116020088 VA Primary

Addresses

Primary practice location

8078 Crescent Park Drive
Suite 101
Gainesville, VA 20155

Mailing address

950N Glebe Rd 4000
Arlington, VA 22203-1824
Phone (571) 295-7514

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cyoung705258@soc.inova.org Health Information Exchange (HIE) Inova Physician Partners, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110909002531 VA Practitioner - Family Practice 1759551328 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairfax Family Practice Centers PCGroup PAC ID 4082513031, 106 clinicians

Practice addresses (Care Compare)

8100 Ashton Ave
Suite 101
Manassas, VA 20109-5647
Phone (703) 527-8090

Hospital & facility affiliations

  • Uva Health Haymarket Medical Center Hospital, Haymarket, VA, CCN 490144
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116020088VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Family Medicine CurrentSince Feb 7, 2016 Accepting new patients
Inova Physician Partners, LLC Family Medicine CurrentSince Jun 25, 2020 Accepting new patients
Privia Medical Group, LLC CurrentSince Feb 7, 2016 Accepting new patients
Privia Pediatric Medical Group of Georgia LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients

Locations

950 N Glebe Rd
#4000
Arlington, VA 22203

20905 Professional Plz
Ste 330
Ashburn, VA 20147
Phone (703) 726-0003

8078 Crescent Park Dr
Ste 101
Gainesville, VA 20155
Phone (540) 636-2028

8644 Sudley Rd
#220
Manassas, VA 20110

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

8100 Ashton Ave
Ste 101
Sudley Springs, VA 20109
Phone (703) 205-7330

Organizations & group practices 7

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 3

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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1649430349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950N GLEBE RD 4000",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031824",
            "telephone_number": "571-295-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8078 CRESCENT PARK DRIVE",
            "address_2": "SUITE 101",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "20155",
            "telephone_number": "540-636-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CHI",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116020088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cyoung705258@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Physician Partners, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "8078 Crescent Park Drive",
            "address_2": "Suite 101",
            "city": "Gainesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "20155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

Verify at the official NPI Registry.