Individual provider Active NPI

Christopher Black, MD

  • Internal Medicine Physician
  • Hot Springs, AR
National Provider Identifier
1093398653
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0000000000 Issued in NV
Practice address
300 Werner St
Hot Springs, AR 71913-6406
Phone
(501) 622-2175
NPI assigned
May 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0000000000 NV Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

300 Werner St
Hot Springs, AR 71913-6406

Mailing address

300 Werner St
Hot Springs, AR 71913-6406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241118001193 NV Practitioner - Internal Medicine 2860926516 Reassigns benefits to 1 organization
I20251028004974 FL Practitioner - Internal Medicine 2860926516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coral Springs Physician Services, LLCGroup PAC ID 7719268333, 36 clinicians

Practice addresses (Care Compare)

3000 Coral Hills Dr
Coral Springs, FL 33065-4108
Phone (954) 344-3000

Hospital & facility affiliations

  • Trust USA Home Health LLC Home health agency, Plantation, FL, CCN 109594
  • Broward Health Coral Springs Hospital, Coral Springs, FL, CCN 100276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0000000000NVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Coral Springs Physician Services, LLC CurrentSince Sep 20, 2025 Accepting new patients
Pioneer Health Care LLC Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Mubder Health LLC Internal Medicine Past Accepting new patients

Locations

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

3540 W Sahara Ave
Ste 330
Las Vegas, NV 89102
Phone (702) 945-2321

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

3540 W Sahara Ave
#330
Las Vegas, NV 89102
Phone 7029216823 ext. 2

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1093398653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WERNER ST",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WERNER ST",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136406",
            "telephone_number": "501-622-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-02",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "0000000000",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.