Individual provider Active NPI

Christopher A Youngman, MD

  • Pediatrics Physician
  • Detroit, MI
National Provider Identifier
1740360890
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301081891 Issued in MI
Practice address
400 Mack Ave Ste 1
Detroit, MI 48201-2136
Phone
(313) 448-9600
Fax
(313) 448-9978
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 37207 IA
Pediatrics Physician 208000000X 4301081891 MI Primary

Addresses

Primary practice location

400 Mack Ave Ste 1
Detroit, MI 48201-2136

Mailing address

400 Mack Ave Ste 1
Detroit, MI 48201-2136
Phone (313) 448-9600

Other identifiers 2

IdentifierTypeStateIssuer
1740360890MedicaidIA
56180OtherIAWELLMARK BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20210520000246 MI Practitioner - Pediatric Medicine 0042302747 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301081891MIMDSpecialist
37207IAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Pediatrics Inc. Pediatrics CurrentSince Jan 16, 2021 Accepting new patients
Resilience Healthcare - Lakefront Medical Associates, LLC PastSince Jan 10, 2021 Accepting new patients
Huron Valley House Peds PLLC Pediatrics Past Accepting new patients

Locations

400 Mack Ave
Ste 1
Detroit, MI 48201
Phone (313) 448-9600

400 Mack Ave
Ste 9
Detroit, MI 48201

Interoperability endpoints

  • Direct secure messaging: cyoungman681948@direct.hfhs.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1740360890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MACK AVE STE 1",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012136",
            "telephone_number": "313-448-9600",
            "fax_number": "313-448-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MACK AVE STE 1",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012136",
            "telephone_number": "313-448-9600",
            "fax_number": "313-448-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGMAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "37207",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301081891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740360890",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS",
            "identifier": "56180",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.