CHARLES T. BLACK MD – NPI #1528049723
Surgery

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

CHARLES BLACK is a surgeon located in DALLAS, TX. NPPES has assigned the NPI number 1528049723 to CHARLES BLACK on November 07, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0120X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Pediatric Surgery

The NPI profile was previously updated about 6 years ago on May 13, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLES BLACK below.

NPI Profile for
CHARLES T. BLACK

NPI Number
1528049723
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHARLES T. BLACK
Credentials
MD
Primary location
12200 PARK CENTRAL DR STE 400
DALLAS, TX 75251-2116
Phone: (214) 483-9300 Fax: (214) 483-9301
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
May 13, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CHARLES BLACK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNATX4130343
OTHERAETNA MEDICAIDTX41814
OTHERAMERIGROUPTX10009560
OTHERBLUE CROSS80390N
OTHERCIGNATX3725428015
OTHERCSHCNTX138311914
OTHERONE HEALTH PLANTX389962
OTHERPACIFICARETX153410004
OTHERSUPERIOR CHIPTX127631
OTHERUNITED HEALTH CARETX0134405
MEDICAIDTX138311911
MEDICAIDTX138311913
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0120X
- Surgery / Pediatric Surgery (Primary)
TX F3761

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.