DR. JOHN WILLIAM BLACK M.D. NPI 1023092095

NPI Information

  • NPI: 1023092095
  • Provider Name: DR. JOHN WILLIAM BLACK, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3623 LATROBE DR
    SUITE 216
    CHARLOTTE, NC
    ZIP 28211
  • Phone: (704) 332-1291

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NPI Details

DR. John William Black, M.D. is a diagnostic radiology radiology in Charlotte, NC with 35 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. John William Black, M.D. NPI is 1023092095. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

3623 LATROBE DR
SUITE 216
CHARLOTTE, NC
ZIP 28211
Phone: (704) 332-1291
Fax: (704) 332-5206

The NPI 1023092095 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.

  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)

The enumeration date for this NPI number is 12/2/2005 and was last updated on 9/13/2020.

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
12085R0202XRadiologyDiagnostic Radiology27821SOUTH CAROLINANo
22085R0202XRadiologyDiagnostic Radiology96-01000NORTH CAROLINAYes

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
1891010RMEDICAIDNORTH CAROLINA

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: 3/30/2025

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