Individual provider Active NPI

Ryan Ah Khan Young, MD

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
National Provider Identifier
1841314416
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
13609 Issued in NV
Practice address
1707 W Charleston Blvd
Ste 120
Las Vegas, NV 89102-2351
Phone
(702) 671-5140
Fax
(702) 385-2745
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 13609 NV Primary

Addresses

Primary practice location

1707 W Charleston Blvd
Ste 120
Las Vegas, NV 89102-2351

Mailing address

1701 W Charleston Blvd
#215
Las Vegas, NV 89102-2325
Phone (702) 968-4347

Other identifiers 1

IdentifierTypeStateIssuer
DM721ZOtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20100920000793 NV Practitioner - Obstetrics/Gynecology 0648395228 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13609NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Unlv Medicine Current Accepting new patients
Unlv Medicine CurrentSince Aug 6, 2017 Accepting new patients
Unlv Medicine CurrentSince Aug 6, 2017 Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients

Locations

5380 S Rainbow Blvd
Ste 324
Las Vegas, NV 89118
Phone (702) 992-6828

1707 W Charleston Blvd
Ste 120
Las Vegas, NV 89102
Phone (702) 671-5140

3196 S Maryland Pkwy
Ste 303
Las Vegas, NV 89109
Phone (702) 383-2919

1701 W Charleston Blvd
Ste 250
Las Vegas, NV 89102
Phone (702) 671-2341

1707 W Charleston Blvd
Ste 220
Las Vegas, NV 89102
Phone (702) 671-5070

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

2410 Fire Mesa St
Ste 180
Las Vegas, NV 89128
Phone (702) 202-2700

1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

Interoperability endpoints

  • Direct secure messaging: ryoung12727@direct.umcsn.com

Organizations & group practices 5

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418947200000",
    "number": "1841314416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W CHARLESTON BLVD",
            "address_2": "#215",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022325",
            "telephone_number": "702-968-4347",
            "fax_number": "702-382-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 W CHARLESTON BLVD",
            "address_2": "STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022351",
            "telephone_number": "702-671-5140",
            "fax_number": "702-385-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "RYAN",
        "middle_name": "AH KHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2014-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "13609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DM721Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.