Individual provider Active NPI

Alfred W Lee-Young, M.D.

  • Gastroenterology Physician
  • Westminster, MD
National Provider Identifier
1689732240
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D0037728 Issued in MD
Practice address
216A Washington Heights Medical Center
Westminster, MD 21157-5665
Phone
(410) 848-1212
Fax
(410) 848-7944
NPI assigned
Dec 5, 2006
Last updated
Nov 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X D0037728 MD Primary

Addresses

Primary practice location

216A Washington Heights Medical Center
Westminster, MD 21157-5665

Mailing address

216A Washington Heights Medical Center
Westminster, MD 21157-5665
Phone (410) 848-1212

Other identifiers 1

IdentifierTypeStateIssuer
652401000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120410000271 MD Practitioner - Gastroenterology 1456401348 Reassigns benefits to 1 organization
I20240125001265 DE Practitioner - Gastroenterology 1456401348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Maryland School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidalhealth Physician Network, Inc.Group PAC ID 7315901253, 115 clinicians
Lifebridge Community Gastroenterology LLCGroup PAC ID 7618108119, 54 clinicians

Practice addresses (Care Compare)

Seaford, DE 19973
Phone 30262966118802

1838 Greene Tree Rd
Suite 400
Pikesville, MD 21208-7103
Phone (410) 602-7782

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy200
Upper gastrointestinal (GI) endoscopy for acid reflux251

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Community Gastroenterology, LLC Gastroenterology CurrentSince Jan 23, 2024 Accepting new patients
Pikesville MD Endoscopy ASC LLC Current Accepting new patients
Tidalhealth Physician Network, Inc. CurrentSince Jan 29, 2024 Accepting new patients
Dr Wendy Kloesz, M.D., P.a Past Accepting new patients
Digestive Disease Associates, P.a. Gastroenterology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

1838 Greene Tree Rd
Ste 180
Pikesville, MD 21208
Phone (410) 358-1800

1838 Greene Tree Rd
Ste 400
Pikesville, MD 21208
Phone (410) 602-9343

535 Old Westminster Pike
Ste 101
Westminster, MD 21157
Phone (410) 876-8332

Organizations & group practices 6

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 1

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1689732240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216A WASHINGTON HEIGHTS MEDICAL CENTER",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575665",
            "telephone_number": "410-848-1212",
            "fax_number": "410-848-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216A WASHINGTON HEIGHTS MEDICAL CENTER",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575665",
            "telephone_number": "410-848-1212",
            "fax_number": "410-848-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE-YOUNG",
        "first_name": "ALFRED",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0037728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "652401000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.