Individual provider Active NPI

Gregory Alan Young, M.D.

  • Otolaryngology Physician
  • Rockwall, TX
National Provider Identifier
1790727691
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
J7395 Issued in TX
Practice address
1005 W Ralph Hall
Suite 107
Rockwall, TX 75032-6653
Phone
(972) 771-5443
Fax
(972) 771-5444
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X J7395 TX Primary

Addresses

Primary practice location

1005 W Ralph Hall
Suite 107
Rockwall, TX 75032-6653

Mailing address

1320 Summer Lee Dr
Rockwall, TX 75032-5453
Phone (972) 771-5443

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
I20050616000821 TX Practitioner - Otolaryngology 5991768772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Allergy ENT LLP CurrentSince Jul 16, 2015 Accepting new patients
Allergy Ears Nose & Throat of Greenville PA Otolaryngology PastSince Jul 20, 1998 Accepting new patients
University Gastroenterology, LLC Past Accepting new patients

Locations

1005 W Ralph Hall Pkwy
Ste 107
Rockwall, TX 75032
Phone (469) 769-1961

1320 Summer Lee Dr
Rockwall, TX 75032
Phone (972) 771-5443

2300 W FM 544
Ste 200
Wylie, TX 75098
Phone (972) 771-5443

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1790727691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 SUMMER LEE DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325453",
            "telephone_number": "972-771-5443",
            "fax_number": "972-771-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W RALPH HALL",
            "address_2": "SUITE 107",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326653",
            "telephone_number": "972-771-5443",
            "fax_number": "972-771-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "GREGORY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "J7395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.