Individual provider Active NPI

Michael W Young, DO

  • Addiction Medicine (Family Medicine) Physician
  • Flint, MI
National Provider Identifier
1932218104
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
5101008705 Issued in MI
Practice address
2091 Professional Dr
Flint, MI 48532-3657
Phone
(810) 732-1652
Fax
(810) 732-1735
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101008705 MI
Addiction Medicine (Family Medicine) Physician 207QA0401X 5101008705 MI Primary

Addresses

Primary practice location

2091 Professional Dr
Flint, MI 48532-3657

Mailing address

2091 Professional Dr
Flint, MI 48532-3657
Phone (810) 732-1652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100303000675 MI Practitioner - Family PracticePractitioner - Addiction Medicine 0042355950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Michigan State University College of Osteopathic Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

400 Stoddard Rd
Richmond, MI 48062-2505
Phone (810) 392-2167

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Rehabilitation Center, Inc CurrentSince Aug 1, 2021 Accepting new patients
Sacred Heart Rehabilitation Center, Inc Past Accepting new patients

Locations

1400 E 12 Mile Rd
Madison Hts, MI 48071
Phone (248) 547-2223

400 Stoddard Rd
Richmond, MI 48062

Interoperability endpoints

  • Direct secure messaging: myoung1158452@direct.hfhs.org

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1932218104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2091 PROFESSIONAL DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323657",
            "telephone_number": "810-732-1652",
            "fax_number": "810-732-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 PROFESSIONAL DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323657",
            "telephone_number": "810-732-1652",
            "fax_number": "810-732-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-02-20",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101008705",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MI",
            "license": "5101008705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.