Individual provider Active NPI

Andrew Christopher Young

  • Family Medicine Physician
  • Wellesley Hills, MA
National Provider Identifier
1821592197
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
286774 Issued in MA
Practice address
65 Walnut St Ste 420
Wellesley Hills, MA 02481-2197
Phone
(781) 235-3444
Fax
(781) 235-6888
NPI assigned
Mar 21, 2018
Last updated
Aug 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 286774 MA Primary

Addresses

Primary practice location

65 Walnut St Ste 420
Wellesley Hills, MA 02481-2197

Mailing address

65 Walnut St Ste 420
Wellesley Hills, MA 02481-2197
Phone (781) 235-3444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20210813001743 MA Practitioner - Family Practice 7315292729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Needham Wellesley Family Medicine PCGroup PAC ID 6507982873, 9 clinicians

Practice addresses (Care Compare)

65 Walnut St
Suite 420
Wellesley, MA 02481-2197
Phone (781) 235-3444

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Needham Wellesley Family Medicine PC CurrentSince Aug 1, 2021 Accepting new patients

Locations

100 S Shore Dr
Ste 200
East Haven, CT 06512
Phone (217) 433-2804

65 Walnut St
Ste 420
Wellesley Hls, MA 02481
Phone (781) 235-3444

Interoperability endpoints

  • Direct secure messaging: young.andrew.lfmd@direct.partners.masshiway.net

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1821592197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WALNUT ST STE 420",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024812197",
            "telephone_number": "781-235-3444",
            "fax_number": "781-235-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WALNUT ST STE 420",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024812197",
            "telephone_number": "781-235-3444",
            "fax_number": "781-235-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ANDREW",
        "middle_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "286774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley Hills, MA

Sources for this page

Verify at the official NPI Registry.