Individual provider Active NPI

Daniel Young, MD

  • Neurology Physician
  • Bloomington, IL
National Provider Identifier
1972983377
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036148707 Issued in IL
Practice address
2204 Eastland Dr
Bloomington, IL 61704-3567
Phone
(309) 663-0222
NPI assigned
Jun 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X 036148707 IL Primary
Psychiatry Physician 2084P0800X 01091205A IN

Addresses

Primary practice location

2204 Eastland Dr
Bloomington, IL 61704-3567

Mailing address

611 W Park St
Urbana, IL 61801-2529

Other practice location 1

583 S Clarizz Blvd
Bloomington, IN 47401-5515
Phone (812) 676-4460

Other practice location 2

360 Station Dr Ste 300
Crystal Lake, IL 60014-8003
Phone (815) 455-1800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dyoung@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AL, SD, WI, OK, IA, LA, MD, MN, DC10 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 10

Enrollment IDStateProvider typePAC IDDetails
I20190730003814 IL Practitioner - Neurology 6800100587 Reassigns benefits to 2 organizations
I20230728002599 AL Practitioner - Neurology 6800100587 Reassigns benefits to 1 organization
I20241119004959 SD Practitioner - Neurology 6800100587 Reassigns benefits to 1 organization
I20241230002714 WI Practitioner - Neurology 6800100587
I20250103000807 OK Practitioner - Neurology 6800100587
I20250128002443 IA Practitioner - Neurology 6800100587 Reassigns benefits to 1 organization
I20250320002937 LA Practitioner - Neurology 6800100587 Reassigns benefits to 1 organization
I20250324002521 MD Practitioner - Neurology 6800100587 Reassigns benefits to 1 organization
I20250325001748 MN Practitioner - Neurology 6800100587 Reassigns benefits to 1 organization
I20250513001134 DC Practitioner - Neurology 6800100587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Southern Illinois University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
Imc-Diagnostic and Medical Clinic LLCGroup PAC ID 2860399623, 168 clinicians

Practice addresses (Care Compare)

Chancellor, SD 57015
Phone (972) 449-0540

1000 4TH St SW
Mason City, IA 50401-2800
Phone (972) 449-0540

1026 A Ave NE
Unitypoint St Lukes Hospital
Cedar Rapids, IA 52402-5036
Phone (972) 449-0540

1325 S Cliff Ave
Sioux Falls, SD 57105-1007
Phone (942) 449-0540

1700 Springhill Ave
Suite 100
Mobile, AL 36604-1416
Phone (251) 435-1200

1713 N Sheffield Ave
Apt 3S
Chicago, IL 60614-9311
Phone (972) 449-0540

1795 Hwy 64 E
Anamosa, IA 52205-2112
Phone (972) 449-0540

305 S State St
Aberdeen, SD 57401-4527
Phone (972) 449-0540

350 N Grandview Ave
Unitypoint the Finley Hospital
Dubuque, IA 52001-6388
Phone (972) 449-0540

525 N Foster St
Mitchell, SD 57301-2966
Phone (972) 449-0540

701 10TH St SE
Cedar Rapids, IA 52403-1251
Phone (972) 449-0540

800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (972) 449-0540

801 5TH St
Sioux City, IA 51101-1326
Phone (972) 449-0540

801 E Sioux Ave
Pierre, SD 57501-3323
Phone (972) 449-0540

802 Kenyon Rd
Fort Dodge, IA 50501-5740
Phone (972) 449-0540

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036148707ILMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC Neurology CurrentSince Apr 15, 2024 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Oct 30, 2023 Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC CurrentSince Oct 30, 2023 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC Neurology CurrentSince Jul 14, 2023 Accepting new patients
Carle West Physician Group Inc CurrentSince Jan 17, 2022 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince Jul 14, 2023 Accepting new patients

Locations

1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366

1700 Spring Hill Ave
Ste 100
Mobile, AL 36604

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

583 S Clarizz Blvd
Bloomington, IN 47401
Phone (812) 333-2663

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

Interoperability endpoints

  • Direct secure messaging: dyoung@direct.iuhealth.org
  • Direct secure messaging: dyoungmd341748@carlehiedirect.net

Organizations & group practices 6

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": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1972983377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 EASTLAND DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617043567",
            "telephone_number": "309-663-0222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "583 S Clarizz Blvd",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474015515",
            "country_code": "US",
            "telephone_number": "812-676-4460",
            "fax_number": "812-355-4092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Station Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600148003",
            "country_code": "US",
            "telephone_number": "815-455-1800",
            "fax_number": "815-455-1875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-02",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036148707",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01091205A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dyoung@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "583 S Clarizz Blvd",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474015515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

Verify at the official NPI Registry.