Individual provider Active NPI

Van An Young, MD

  • Diagnostic Radiology Physician
  • Edgewood, KY
National Provider Identifier
1851562540
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
41825 Issued in KY
Practice address
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone
(859) 301-2160
Fax
(859) 301-3932
NPI assigned
Mar 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 35.091510 OH
Diagnostic Radiology Physician 2085R0202X 41825 KY Primary
Specialist 174400000X 41825 KY
Diagnostic Radiology Physician 2085R0202X 01062470A IN

Addresses

Primary practice location

1 Medical Village Dr
Edgewood, KY 41017-3403

Mailing address

PO Box 932163
Cleveland, OH 44193-0001
Phone (586) 412-4000

Other identifiers 4

IdentifierTypeStateIssuer
P00825279OtherKYRAIL ROAD MEDICARE PTAN
P00644995OtherRRMC
7100055370MedicaidKY
2849707MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080630000019 KY Practitioner - Diagnostic Radiology 8123190683 Reassigns benefits to 2 organizations
I20120705000192 IN Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 8123190683 Reassigns benefits to 1 organization
I20200430002750 OH Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 8123190683 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, San Diego School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Radiology Associates of Northern Kentucky PLLCGroup PAC ID 3779480736, 56 clinicians
Gcga Physicians Inc.Group PAC ID 4284618224, 76 clinicians

Practice addresses (Care Compare)

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-2160

10220 Alliance Rd
Blue Ash, OH 45242-4710
Phone (513) 841-7800

135 Courthouse Xing
Independence, KY 41051-2509
Phone (859) 301-0990

2000 Joseph E Sanker Blvd
Cincinnati, OH 45212-1979
Phone (513) 841-7400

2200 Conner Rd
Hebron, KY 41048-8142
Phone (859) 814-0010

238 Barnes Rd
Williamstown, KY 41097-9482
Phone (859) 824-8110

2925 Vernon PL
Cincinnati, OH 45219-2425

309 11TH St
Carrollton, KY 41008-1435
Phone (502) 732-3249

3910 Eagleedge CT
Independence, KY 41051-2509
Phone (859) 331-4369

4360 Ferguson Dr
Suite 100
Cincinnati, OH 45245-1683
Phone (513) 841-7750

4746 Montgomery Rd
Suite 202
Norwood, OH 45212-2628
Phone (513) 751-6667

4900 Houston Rd
Florence, KY 41042-4824
Phone (859) 212-5420

600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Phone (800) 676-5572

7200 Alexandria Pike
Alexandria, KY 41001-1036
Phone (859) 814-0070

7372 Liberty One Dr
Liberty Township, OH 45044-8872
Phone (513) 751-6667

8099 Cornell Rd
Cincinnati, OH 45249-2231
Phone (513) 793-3933

8460 US Hwy 42
Florence, KY 41042-9642
Phone 8772357686987

85 N Grand Ave
Fort Thomas, KY 41075-1793
Phone (859) 572-3140

925 Deis Dr
Fairfield, OH 45014-8130
Phone (513) 841-7900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41825KYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Northern Kentucky, PLLC Diagnostic Radiology CurrentSince Jul 1, 2008 Accepting new patients
Tri State Urologic Services PSC Inc Vascular & Interventional Radiology CurrentSince Aug 1, 2024 Accepting new patients
St Elizabeth Medical Center, Inc CurrentSince Feb 1, 2015 Accepting new patients
Tri State Urologic Services PSC Inc Current Accepting new patients
Gcga Physicians Inc. CurrentSince Aug 9, 2024 Accepting new patients
Tri State Urologic Services PSC Inc Current Accepting new patients
St Elizabeth Medical Center, Inc Specialist CurrentSince Feb 1, 2015 Accepting new patients
Tri State Urologic Services PSC Inc CurrentSince Aug 1, 2024 Accepting new patients
B&D Radiology Partners PLLC Diagnostic Radiology PastSince Sep 1, 2017 Accepting new patients

Locations (25 of 37)

204 Bridgeway St
Aurora, IN 47001
Phone (812) 926-3133

1640 Flossie Dr
Lawrenceburg, IN 47025
Phone (812) 496-3285

600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700

7200 Alexandria Pike
Alexandria, KY 41001
Phone (859) 344-5652

329 Floyd Dr
Carrollton, KY 41008
Phone (502) 732-1082

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

401 E 20th St
Covington, KY 41014
Phone (859) 283-6600

1500 James Simpson Jr Way
Covington, KY 41011
Phone (859) 655-4353

375 Thomas More Pkwy
Ste 209
Crestview Hills, KY 41017
Phone (859) 341-4842

651 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 341-6660

500 Thomas More Pkwy
Ste 2
Crestview Hls, KY 41017
Phone (859) 341-4842

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

560 S Loop Rd
Ste 100
Edgewood, KY 41017

830 Thomas More Pkwy
Ste 101
Edgewood, KY 41017
Phone (859) 301-5600

560 S Loop Rd
Edgewood, KY 41017
Phone (859) 817-3599

413 S Loop Rd
Edgewood, KY 41017
Phone (859) 301-3800

600 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-6382

4123 Olympic Blvd
Ste 150
Erlanger, KY 41018
Phone (859) 301-2999

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

7830 Connector Dr
Florence, KY 41042
Phone (859) 525-2994

10095 Investment Way
Florence, KY 41042
Phone (859) 301-9070

8460 US Highway 42
Florence, KY 41042
Phone (859) 282-0911

85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100

2200 Conner Rd
Hebron, KY 41048
Phone (859) 344-5652

2626 Alexandria Pike
Highland Heights, KY 41076
Phone (859) 757-0434

Interoperability endpoints

  • Direct secure messaging: vanyoung@tsus.allscriptsdirect.net

Organizations & group practices 9

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 5

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": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1851562540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932163",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930001",
            "telephone_number": "586-412-4000",
            "fax_number": "586-412-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL VILLAGE DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173403",
            "telephone_number": "859-301-2160",
            "fax_number": "859-301-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "VAN",
        "middle_name": "AN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-20",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OH",
            "license": "35.091510",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "41825",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "41825",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01062470A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE PTAN",
            "identifier": "P00825279",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00644995",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100055370",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2849707",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

Verify at the official NPI Registry.