Individual provider Active NPI

Thomas J Young, M.D.

  • Anesthesiology Physician
  • Lexington, KY
National Provider Identifier
1962567545
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
29829 Issued in KY
Practice address
1800 Nicholasville Rd
Suite 104
Lexington, KY 40503-1433
Phone
(859) 276-1557
Fax
(859) 276-3188
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 29829 KY Primary

Addresses

Primary practice location

1800 Nicholasville Rd
Suite 104
Lexington, KY 40503-1433

Mailing address

1800 Nicholasville Rd
Suite 104
Lexington, KY 40503-1433
Phone (859) 276-1557

Other identifiers 1

IdentifierTypeStateIssuer
64298292MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20120103000431 KY Practitioner - Anesthesiology 8022922962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Kentucky Anesthesia P.S.C.Group PAC ID 4880508712, 60 clinicians

Practice addresses (Care Compare)

1740 Nicholasville Rd
Lexington, KY 40503-1431
Phone (859) 268-1030

Hospital & facility affiliations

  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29829KYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Kentucky Anesthesia P.S.C. CurrentSince Jun 1, 1997 Accepting new patients
Central Kentucky Anesthesia PSC Anesthesiology Current Accepting new patients
Kentucky Medical Services Foundation, Inc Anesthesiology Past Accepting new patients

Locations

1720 Nicholasville Rd
Lexington, KY 40503
Phone (859) 277-2211

1740 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-6100

1800 Nicholasville Rd
Ste 104
Lexington, KY 40503
Phone (859) 276-1557

425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322

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.

Hospital & facility affiliations 1

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1962567545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 NICHOLASVILLE RD",
            "address_2": "SUITE 104",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031433",
            "telephone_number": "859-276-1557",
            "fax_number": "859-276-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NICHOLASVILLE RD",
            "address_2": "SUITE 104",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031433",
            "telephone_number": "859-276-1557",
            "fax_number": "859-276-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "29829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64298292",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.