YOUNG NEPHROLOGY LLC
NPI 1477491512
Internal Medicine - Nephrology in Lake St Louis, MO

Active since March 23, 2026
1000 EDGEWATER PT STE 303, LAKE ST LOUIS, MO 63367(636) 265-2225(636) 265-0320 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 30, 2026, Apr 21, 2026, Mar 23, 2026 (3 updates tracked since 2026).

About Young Nephrology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YOUNG NEPHROLOGY LLC (NPI 1477491512) is a healthcare organization registered as a nephrology in Lake St Louis, Missouri and active in the NPI registry since March 2026. The organization lists Daniel Orion Young, Owner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1477491512
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameYOUNG NEPHROLOGY LLC
Location Address1000 EDGEWATER PT STE 303Lake St Louis, MO 63367-2954
Mailing AddressPo Box 345Cottleville, MO 63338-0345 · (314) 598-2442 · Fax (636) 265-0320
Fax(636) 265-0320
Organization SubpartNo
Authorized OfficialDaniel Orion YoungOwner, Ceo · (314) 598-2442
Enumeration DateMarch 23, 2026
Last NPPES UpdateJuly 30, 20263 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1477491512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1000 EDGEWATER PT STE 303, Lake St Louis, MO 63367

Other Identifiers 1

Medicaid208397505MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Young Nephrology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Young Nephrology LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nephrology
NPI 1184742520
1000 EDGEWATER PT STE 303
Lake Saint Louis, MO 63367
(636) 265-2225
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Young Nephrology LLC's NPI number?

The NPI number for Young Nephrology LLC is 1477491512. It was assigned to this organization in the NPPES registry on March 23, 2026.

Where is Young Nephrology LLC located?

Young Nephrology LLC is located at 1000 Edgewater Pt Ste 303, Lake St Louis, MO 63367. The listed phone number is (636) 265-2225.

What is Young Nephrology LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Young Nephrology LLC enrolled in Medicare?

Yes. Young Nephrology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Young Nephrology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Young Nephrology LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Young Nephrology LLC was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.