Individual provider Active NPI

Jordan S Youngerman, M.D.

  • Specialist
  • Decatur, IL
National Provider Identifier
1992724553
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036084067 Issued in IL
Practice address
1 Memorial Dr
Suite 110
Decatur, IL 62526-6303
Phone
(217) 424-2442
Fax
(217) 424-9431
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036084067 IL Primary

Addresses

Primary practice location

1 Memorial Dr
Suite 110
Decatur, IL 62526-6303

Mailing address

2300 N Edward St
Gsbll
Decatur, IL 62526-4163
Phone (217) 876-2857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040604000058 IL Practitioner - Plastic and Reconstructive Surgery 4880676733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
R Franklin University of Med & Sci/Chicago Medical School, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decatur Memorial HospitalGroup PAC ID 6204731144, 173 clinicians

Practice addresses (Care Compare)

1 Memorial Dr
Suite 110
Decatur, IL 62526-6314
Phone (217) 424-2442

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
73.88 of 100Reported as group
Quality
63.91
Improvement activities
40
Cost
77.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision54
Removal of skin lesions71
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Memorial Hospital CurrentSince Aug 9, 2009 Accepting new patients
Memorial Health Partners Current Accepting new patients
Decatur Memorial Hospital CurrentSince Aug 9, 2009 Accepting new patients
Springfield Clinic LLP Current Accepting new patients

Locations

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

1 Memorial Dr
Ste 110
Decatur, IL 62526
Phone (217) 422-2442

241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220

Interoperability endpoints

  • Direct secure messaging: jordanyoungerman@sfc.allscriptsdirect.net
  • Direct secure messaging: jordanyoungerman@memorial.allscriptsdirect.net

Organizations & group practices 4

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 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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1992724553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N EDWARD ST",
            "address_2": "GSBLL",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264163",
            "telephone_number": "217-876-2857",
            "fax_number": "217-876-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEMORIAL DR",
            "address_2": "SUITE 110",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625266303",
            "telephone_number": "217-424-2442",
            "fax_number": "217-424-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGERMAN",
        "first_name": "JORDAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036084067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.