Active NPI
Xiao Ying Young, MD
- Pediatrics Physician
- Coon Rapids, MN
National Provider Identifier
1750356309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 45313
- Practice address
- 11475 Robinson Dr NW
Coon Rapids, MN 55433-3746 - Phone
- (763) 587-9000
- Fax
- (763) 587-9130
- NPI assigned
- Feb 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 45313 | MN | Primary |
Addresses
Primary practice location
11475 Robinson Dr NW
Coon Rapids, MN 55433-3746
Mailing address
PO Box 1450
Minneapolis, MN 55485-1450
Phone (651) 265-1999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 460638800 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45313 | MN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
11475 Robinson Dr NW
Minneapolis, MN 55433
Phone (763) 587-9000
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
Interoperability endpoints
- xyoung31518@direct.healthpartners.com
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
- Family Medicine Physician
- Stillwater, MN
- NPI 1245608454
-
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
-
- General Acute Care Hospital
- Coon Rapids, MN
- NPI 1316904287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1750356309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1450",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554851450",
"telephone_number": "651-265-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11475 ROBINSON DR NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554333746",
"telephone_number": "763-587-9000",
"fax_number": "763-587-9130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "XIAO YING",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-17",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "45313",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "460638800",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.