Individual provider Active NPI

Priya K Young, MD

  • Dermatology Physician
  • Indianapolis, IN
National Provider Identifier
1992757751
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
44654 Issued in WI
Practice address
7910 N Shadeland Ave
Indianapolis, IN 46250-2041
Phone
(317) 516-5000
Fax
(317) 516-5146
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 44654 WI Primary

Addresses

Primary practice location

7910 N Shadeland Ave
Indianapolis, IN 46250-2041

Mailing address

7910 N Shadeland Ave
Indianapolis, IN 46250-2041
Phone (317) 516-5000

Other identifiers 2

IdentifierTypeStateIssuer
P00634465OtherINMEDICARE RAILROAD
200862700MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PYoung@directaddress.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20070831000201 IN Practitioner - Dermatology 7214989805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Indiana University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dawes Fretzin Dermatology Group, LLCGroup PAC ID 8820990872, 20 clinicians

Practice addresses (Care Compare)

10801 N Michigan Rd
Suite 201
Zionsville, IN 46077-8171
Phone (317) 516-5000

7307 Quality Cir
Anderson, IN 46013-2014
Phone (317) 516-5000

7910 N Shadeland Ave
Indianapolis, IN 46250-2041
Phone (317) 516-5000

Merit-based Incentive Payment System (MIPS)

Final score
85.03 of 100Reported as group
Quality
68.51
Promoting interoperability
94
Improvement activities
40
Cost
86.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions488
Removal or shaving of skin growth197
Skin biopsy146

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Dermatology, Inc. Dermatology CurrentSince Oct 1, 2007 Accepting new patients
Dawes Fretzin Dermatology Group, LLC Dermatology CurrentSince Aug 1, 2007 Accepting new patients
Major Hospital Past Accepting new patients

Locations

7593 Solutions Ctr
Chicago, IL 60677

7307 Quality Cir
Anderson, IN 46013

1601 Medical Arts Blvd
Anderson, IN 46011
Phone (765) 298-2004

1601 Medical Arts Blvd
Ste 303
Anderson, IN 46011
Phone (317) 566-1600

8103 Clearvista Pkwy
Ste 220
Indianapolis, IN 46256
Phone (317) 588-7790

550 University Blvd
#3240
Indianapolis, IN 46202
Phone (317) 274-7740

7910 N Shadeland Ave
Indianapolis, IN 46250

10801 N Michigan Rd
Ste 201
Zionsville, IN 46077
Phone (317) 733-0926

Interoperability endpoints

  • Direct secure messaging: pyoung@directaddress.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1992757751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502041",
            "telephone_number": "317-516-5000",
            "fax_number": "317-516-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502041",
            "telephone_number": "317-516-5000",
            "fax_number": "317-516-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "PRIYA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "44654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00634465",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200862700",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PYoung@directaddress.net",
            "affiliation": "N",
            "address_1": "7910 N Shadeland Ave",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462502041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.