CARL M BLACK MD NPI 1891737094

NPI Information

  • NPI: 1891737094
  • Provider Name: CARL M BLACK, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1034 N 500 W
    PROVO, UT
    ZIP 84604
  • Phone: (801) 373-7850

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NPI Details

Carl M Black, MD is a diagnostic radiology radiology in Provo, UT with 37 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Carl M Black, MD NPI is 1891737094. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1989

The provider's business location address is:

1034 N 500 W
PROVO, UT
ZIP 84604-380
Phone: (801) 373-7850

The NPI 1891737094 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.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Injection of chemical agent into multiple incompetent veins of leg (HCPCS:36471)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance (HCPCS:36475)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Varicose vein removal (HCPCS:NAN08)

The enumeration date for this NPI number is 6/12/2006 and was last updated on 10/22/2015.

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
12085N0904XRadiologyNuclear Radiology4737479-1205UTAHNo
22085R0202XRadiologyDiagnostic Radiology4737479-1205UTAHYes

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
1002331011MEDICARE PINUTAH
247374791204001OTHERUTAHBLUE CROSS
3107008883101OTHERUTAHIHC
4W14824MEDICARE UPINUTAH
5002331011MEDICARE ID-TYPE UNSPECIFIEDUTAH
6870284448CB1OTHERUTAHEMIA
7666798OTHERUTAHDMBA

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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