DANIEL DAVIDOVICH YOUNG (M.D.) – Cardiovascular Disease Physician, NPI 1457615544
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
53 CARDIAC SURGERY in WA
Provider Addresses for DANIEL DAVIDOVICH YOUNG (M.D.)
4745 40TH AVE SW APT 715
SEATTLE, WA 981164631
Phone: (612) 964-9996
Type: Mailing
9650 15TH AVE SW STE 100
SEATTLE, WA 981062576
Phone: (206) 965-1000
Type: Location
201 W LAKEWAY RD STE 1004
GILLETTE, WY 827186349
Phone: (307) 387-9850
Fax: (307) 387-9890
Type: Mailing
469 HIGHWAY 50
GILLETTE, WY 827189330
Phone: (307) 387-9850
Fax: (307) 387-9890
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-08-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191025002289 | I | Cardiovascular Disease (Cardiology) | WA | TBD |
| I20240830001804 | I | Cardiac Surgery | WY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98116)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Endocrinology, Internal Medicine | TX | |
| Emergency Medicine | CO | |
| General Surgery | MA | |
| Family Practice | WY | |
| P S Y C H I A T R Y | WA | |
| D E R M A T O L O G Y | VT | |
| Registered Dietitian Or Nutrition Professional | WY | |
| N E U R O L O G Y | NE | |
| Internal Medicine | CO | |
| Family Practice, Geriatric Medicine | WY |
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