DEATRA L YOUNG MD NPI 1528187838

NPI Information

  • NPI: 1528187838
  • Provider Name: DEATRA L YOUNG, MD
  • Classification: Preventive Medicine - 2083X0100X
  • Specialization: Occupational Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11700 METRO AIRPORT CENTER DR
    SUITE 100
    ROMULUS, MI
    ZIP 48174
  • Phone: (615) 778-4066

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NPI Details

Deatra L Young, MD is an occupational medicine preventive medicine in Romulus, MI. The provider is occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. Deatra L Young, MD NPI is 1528187838. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11700 METRO AIRPORT CENTER DR
SUITE 100
ROMULUS, MI
ZIP 48174-456
Phone: (615) 778-4066
Fax: (615) 778-9114

The NPI 1528187838 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Sarscov2 vac 50mcg/0.25ml im (HCPCS:91306)

The enumeration date for this NPI number is 3/28/2007 and was last updated on 6/16/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083X0100XPreventive MedicineOccupational Medicine4301060589MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1MI1503MEDICARE PINMICHIGAN
2MI1504020MEDICARE UPINMICHIGAN
3MI1503020MEDICARE UPINMICHIGAN
4MI1504MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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