Individual provider Active NPI

Andrew Young

  • Family Medicine Physician
  • Monroe, MI
National Provider Identifier
1932722428
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301100848 Issued in MI
Practice address
55 Cole Rd
Monroe, MI 48162-4103
Phone
(734) 242-2022
Fax
(734) 242-2251
NPI assigned
May 19, 2020
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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 4301100848 MI Primary

Addresses

Primary practice location

55 Cole Rd
Monroe, MI 48162-4103

Mailing address

55 Cole Rd
Monroe, MI 48162-4103
Phone (734) 242-2022

Other practice location 1

650 Stewart Rd
Monroe, MI 48162-4222
Phone (734) 240-8430

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
I20241008000462 MI Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 4385047786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Loma Linda University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soudabeh Ahadi MD PCGroup PAC ID 0941369912, 3 clinicians

Practice addresses (Care Compare)

55 Cole Rd
Monroe, MI 48162-4103
Phone (734) 242-2022

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Soudabeh Ahadi MD PC CurrentSince Oct 1, 2025 Accepting new patients
Mercy Memorial Hospital Corporatio Current Accepting new patients

Locations

55 Cole Rd
Monroe, MI 48162
Phone (734) 242-2022

650 Stewart Rd
Monroe, MI 48162
Phone (734) 240-4594

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

Interoperability endpoints

  • Direct secure messaging: ayoung1088049@direct.hfhs.org
  • Direct secure messaging: ayoung219172@direct.promedica.org

Organizations & group practices 2

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 2

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": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1932722428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 COLE RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624103",
            "telephone_number": "734-242-2022",
            "fax_number": "734-242-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 COLE RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624103",
            "telephone_number": "734-242-2022",
            "fax_number": "734-242-2251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Stewart Rd",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481624222",
            "country_code": "US",
            "telephone_number": "734-240-8430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-19",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301100848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.