Individual provider Active NPI

Andrew Thomas Young, M.D.

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1770961674
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
R6947 Issued in TX
Practice address
3625 N Hall St Ste 800
Dallas, TX 75219-5106
Phone
(214) 252-3500
Fax
(214) 599-8999
NPI assigned
May 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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 BP10053063 TX
Anesthesiology Physician 207L00000X R6947 TX Primary

Addresses

Primary practice location

3625 N Hall St Ste 800
Dallas, TX 75219-5106

Mailing address

5245 Merrimac Ave
Dallas, TX 75206-5825
Phone (512) 699-0664

Other practice location 1

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180724002708 TX Practitioner - AnesthesiologyPractitioner - Pediatric MedicinePractitioner - Emergency Medicine 6608123526 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pediatric Medicine
Education
Texas Tech University Health Science Center School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

505 S John Redditt Dr
Woodland Heights Medical Center
Lufkin, TX 75904-3120
Phone (936) 634-8311

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

7400 Barlite Blvd
San Antonio, TX 78224-1308
Phone (210) 921-2000

800 E Dawson St
Christus Trinity Clinic
Tyler, TX 75701-2036
Phone (903) 510-1186

910 E Houston St
Tyler, TX 75702-8369

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10053063TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Jan 2, 2024 Accepting new patients
Metropolitan Anesthesia Consultants, LLP Anesthesiology CurrentSince Nov 1, 2022 Accepting new patients
Christus Trinity Clinic Texas Anesthesiology CurrentSince Jan 2, 2024 Accepting new patients

Locations

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

3625 N Hall St
Ste 800
Dallas, TX 75219
Phone (214) 252-3500

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

12505 Lebanon Rd
Frisco, TX 75035
Phone (972) 731-4800

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

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.

Hospital & facility affiliations 2

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1770961674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 MERRIMAC AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065825",
            "telephone_number": "512-699-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 N HALL ST STE 800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195106",
            "telephone_number": "214-252-3500",
            "fax_number": "214-599-8999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Dawson St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012036",
            "country_code": "US",
            "telephone_number": "903-606-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ANDREW",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "BP10053063",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "R6947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.