ROBERT M BLACK MD NPI 1689626913

NPI Information

NPI: 1689626913
Provider Name: ROBERT M BLACK, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
123 SUMMER STREET
SUITE 380 N
WORCESTOR, MA
ZIP 01608
Phone: (508) 363-6126
Get Directions

Robert M Black, MD is a nephrology internal medicine in Worcestor, MA. The provider is 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. Robert M Black, MD NPI is 1689626913. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

123 SUMMER STREET
SUITE 380 N
WORCESTOR, MA
ZIP 01608
Phone: (508) 363-6126
Fax: (508) 363-9266

The NPI 1689626913 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 enumeration date for this NPI number is 5/16/2006 and was last updated on 6/23/2020.

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
1	207RN0300X	Internal Medicine	Nephrology	42763	MASSACHUSETTS	Yes

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
1	202138	OTHER		CIGNA HEALTH PLAN
2	B18224	OTHER		BLUE CARE ELECT
3	26773	OTHER		HEALTHY START
4	AA2834	OTHER		HARVARD PILGRAM HLTH CARE
5	B18224	OTHER		BLUE SHIELD INDEMNITY
6	3100051	OTHER		EVERCARE
7	B18224	OTHER		BLUE SHIELD HMO BLUE
8	042472266	OTHER		PRIVATE HEALTHCARE SYSTEM
9	26773	OTHER		CHILDRENS MED SEC PLAN
10	9900140	OTHER		FALLON COMM HEALTH PLAN
11	783998	OTHER		MVP HEALTH CARE
12	042472266	OTHER		ONE HEALTH PLAN
13	2071908	OTHER		MEDICAID WELFARE
14	2071908	MEDICAID	MASSACHUSETTS
15	7763607	OTHER		US HEALTHCARE
16	042472266	OTHER		HEALTHCARE VALUE MGMT
17	7763607	OTHER		AETNA

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: 5/5/2024

NPI Synchronization or Removal

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