Individual provider Active NPI

Andrew John Young, DPM

  • Primary Podiatric Medicine Podiatrist
  • Victoria, TX
National Provider Identifier
1992709869
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
1551 Issued in TX
Practice address
116 Imperial Dr
Ste a
Victoria, TX 77901-3948
Phone
(361) 578-2777
Fax
(361) 578-2778
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1551 TX
Foot & Ankle Surgery Podiatrist 213ES0103X 1551 TX
Primary Podiatric Medicine Podiatrist 213EP1101X 1551 TX Primary

Addresses

Primary practice location

116 Imperial Dr
Ste a
Victoria, TX 77901-3948

Mailing address

116 Imperial Dr
Ste a
Victoria, TX 77901-3948
Phone (361) 578-2777

Other identifiers 3

IdentifierTypeStateIssuer
151244401MedicaidTX
P00140108OtherTXRAILROAD MEDICARE
84532NOtherTXBCBS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100323000946 TX Practitioner - Podiatry 3577580497 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatry Associates of Victoria PAGroup PAC ID 9830152438, 3 clinicians
Lavaca Hospital DistrictGroup PAC ID 1153211750, 23 clinicians

Practice addresses (Care Compare)

101 Medical Dr
Victoria, TX 77904-3102
Phone (361) 578-2777

102 Medical Dr
Victoria, TX 77904-3101
Phone (361) 578-2777

114 Swift St
Refugio, TX 78377-2426
Phone (361) 578-2777

116 Imperial Dr
Suite a
Victoria, TX 77901-3948
Phone (361) 578-2777

116 Imperial Dr a
Victoria, TX 77901-3948

1200 N Virginia St
Port Lavaca, TX 77979-2507
Phone (361) 578-2777

1400 N Texana
Hallettsville, TX 77964-2021

1400 N Texana St
Hallettsville, TX 77964-2021
Phone (361) 798-3671

2701 Hospital Dr
Victoria, TX 77901-5748
Phone (361) 578-2777

506 E San Antonio St
Victoria, TX 77901-6060
Phone (361) 578-2777

Hospital & facility affiliations

  • De Tar Hospital Navarro Hospital, Victoria, TX, CCN 450147
  • Citizens Medical Center Hospital, Victoria, TX, CCN 450023
  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.75
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue108
Removal of skin lesions14
Removal of nail tissue329
Removal or shaving of skin growth213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lavaca Hospital District CurrentSince Jan 1, 2013 Accepting new patients
Podiatry Associates of Victoria PA Podiatrist CurrentSince May 1, 2008 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

1400 N Texana St
Hallettsville, TX 77964
Phone (361) 798-3671

1406 N Texana St
Hallettsville, TX 77964
Phone (361) 798-3671

116 Imperial Dr
Ste A
Victoria, TX 77901

Interoperability endpoints

  • Direct secure messaging: ayoung@paov.mdlogic.direct-ci.com

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 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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1992709869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 IMPERIAL DR",
            "address_2": "STE A",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013948",
            "telephone_number": "361-578-2777",
            "fax_number": "361-578-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 IMPERIAL DR",
            "address_2": "STE A",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013948",
            "telephone_number": "361-578-2777",
            "fax_number": "361-578-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ANDREW",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1551",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1551",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "TX",
            "license": "1551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151244401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00140108",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "84532N",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.