Lucien David Young, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A5612-04 Issued in NM

Practice address

199 NM Hwy 50
Pecos, NM 87552

Phone

(505) 757-6482

NPI assigned

Feb 1, 2006

Last updated

Mar 7, 2023By 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 2

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Pecos Valley Medical Center, Inc

  • Community Health Clinic/Center
  • Pecos, NM
  • NPI 1497801047
  Medicare reassignment
• Kiely, Jeremiah, & Barberis, PA

  dba Lakewood Acute Care Center

  • Intermediate Emergency Medical Technician
  • Jacksonville, FL
  • NPI 1003925728
  NPD (past)
• Meadowlands Medical Center, PA

  • Primary Care Clinic/Center
  • Orange Park, FL
  • NPI 1124050711
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1730150178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 NM HIGHWAY 50",
            "city": "PECOS",
            "state": "NM",
            "postal_code": "875529510",
            "telephone_number": "505-757-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 NM HWY 50",
            "city": "PECOS",
            "state": "NM",
            "postal_code": "87552",
            "telephone_number": "505-757-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "LUCIEN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "A5612-04",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371152800",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "80687",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Thomas, CNP
• Joshua Brandon Trujillo, CPSW
• Elizabeth Tuttle, DOM
• Graciella Liliana Valencia-Varela
• Shannon J Vasquez, CNP

• Internal Medicine Physician in Pecos, NM
• Providers in Pecos, NM by specialty
• Internal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.