Individual provider Active NPI

Richard R Black, DO

  • Nuclear Medicine Physician
  • Murrieta, CA
National Provider Identifier
1093798720
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
34003488 Issued in OH
Practice address
28062 Baxter Rd
Murrieta, CA 92563-1401
Phone
(951) 290-4000
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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 34003488 OH
Nuclear Medicine Physician 207U00000X 34003488 OH Primary

Addresses

Primary practice location

28062 Baxter Rd
Murrieta, CA 92563-1401

Mailing address

PO Box 89
Chagrin Falls, OH 44022-0089
Phone (216) 245-0203

Other practice location 1

512 E Washington St
Chagrin Falls, OH 44022-4447
Phone (216) 245-0203

Other practice location 2

333 Mercy Ave
Merced, CA 95340-8319
Phone (209) 564-5000

Other identifiers 5

IdentifierTypeStateIssuer
0019707330001MedicaidPA
3312151 00OtherMDMEDICAID PTAN
8470726MedicaidWA
BL4212094OtherOHMEDICARE PTAN
0834262MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL, MD, GA, DC5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20040106000360 OH Practitioner - Nuclear Medicine 4486553773 Reassigns benefits to 6 organizations
Practice locations: Chagrin Falls, OH
I20091031000017 FL Practitioner - Diagnostic Radiology 4486553773 Reassigns benefits to 5 organizations
I20101115001110 MD Practitioner - Diagnostic Radiology 4486553773 Reassigns benefits to 1 organization
I20111010000231 GA Practitioner - Diagnostic Radiology 4486553773 Reassigns benefits to 1 organization
I20231024002196 DC Practitioner - Diagnostic Radiology 4486553773 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio University, College of Osteopathic Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Services of Holy CrossGroup PAC ID 3779516992, 159 clinicians
Partners in Imaging IncGroup PAC ID 6901886092, 9 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Lifebridge Community Physicians IncGroup PAC ID 3678751468, 183 clinicians
Lima Memorial Professional CorporationGroup PAC ID 1254232184, 167 clinicians
Vesta Telemedicine Solutions PLLCGroup PAC ID 9638585706, 39 clinicians

Practice addresses (Care Compare)

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

18851 NE 29TH Ave
Suite 103
Aventura, FL 33180-2811
Phone (305) 890-1839

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

2401 W Belvedere Ave
LBH Medical Group Teleradiology
Baltimore, MD 21215-5216
Phone (410) 601-9000

3801 Biscayne Blvd
Suite 100
Miami, FL 33137-9800
Phone (305) 890-1839

512 Washington St
Suite 1
Chagrin Falls, OH 44022-4457
Phone (419) 226-5055

7340 Wharton Rd
Novelty, OH 44072-9754
Phone (904) 399-5550

9667 Riverway Run
Powell, OH 43065-8374
Phone (904) 399-5550

Hospital & facility affiliations

  • HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242
  • HCA Florida Highlands Hospital Hospital, Sebring, FL, CCN 100049
  • Lima Memorial Health System Hospital, Lima, OH, CCN 360009
  • Holy Cross Hospital Hospital, Silver Spring, MD, CCN 210004
  • Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026

Merit-based Incentive Payment System (MIPS)

Final score
85.07 of 100Reported as group
Quality
71.65
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.23 of 100Reported as group
Quality
60.26
Promoting interoperability
100
Improvement activities
40
Cost
76.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34003488OHMDInternal Medicine Physician

Practice roles (31 of 33)

OrganizationSpecialtyStatusNew patients
Vesta Telemedicine Solutions, PLLC CurrentSince Dec 25, 2023 Accepting new patients
Cancer Institutes of Washington, PLLC CurrentSince Nov 8, 2009 Accepting new patients
Hagerstown Imaging LLC CurrentSince Oct 17, 2017 Accepting new patients
Lima Memorial Professional Corporation Internal Medicine CurrentSince Dec 2, 2023 Accepting new patients
Partners in Imaging Inc CurrentSince Jun 1, 2020 Accepting new patients
Elite Imaging, LLC CurrentSince Jan 12, 2015 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Dec 2, 2023 Accepting new patients
Adventist Physician Services, Inc. CurrentSince Jul 8, 2025 Accepting new patients
S M S DO PA Internal Medicine CurrentSince Feb 11, 2023 Accepting new patients
Blackwell Physicians, LLC CurrentSince Jul 8, 2025 Accepting new patients
Rose Radiology Centers, LLC CurrentSince Jan 28, 2019 Accepting new patients
Mori Bean and Brooks Inc CurrentSince Oct 1, 2025 Accepting new patients
Lifebridge Community Physicians, Inc CurrentSince Dec 12, 2022 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Dec 12, 2022 Accepting new patients
Lifebridge Community Physicians, Inc Current Accepting new patients
Professional Services of Holy Cross CurrentSince Aug 23, 2023 Accepting new patients
Professional Services of Holy Cross CurrentSince Aug 23, 2023 Accepting new patients
Vesta Telemedicine Solutions, PC CurrentSince Dec 27, 2023 Accepting new patients
Eastpointe Radiologists, P.C. Nuclear Medicine CurrentSince Feb 5, 2021 Accepting new patients
Donalsonville Hospital Inc CurrentSince Aug 29, 2011 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
City of Wooster Past Accepting new patients
Northern Illinois Cancer Treatment Center PastSince Feb 15, 2011 Accepting new patients
Genesee Medical Imaging PC Past Accepting new patients
Eastpointe Radiologists, PC Past Accepting new patients
Sheridan Radiology Services of West Florida, Inc. Past Accepting new patients
Hanford Community Hospital Past Accepting new patients
South Nassau Communities Hospital Past Accepting new patients
National Pet Centers LLC Past Accepting new patients
Butler Imaging and Interventional Associates LLC PastSince Sep 3, 2025 Accepting new patients

Locations (25 of 39)

1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045

2999 NE 191st St
Ste 103
Aventura, FL 33180
Phone (305) 692-2222

2925 Aventura Blvd
Ste 100101
Aventura, FL 33180
Phone (305) 692-2222

1220 Oakfield Dr
Brandon, FL 33511
Phone (813) 655-1144

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

1215 Dunn Ave
Ste A
Jacksonville, FL 32218
Phone (904) 696-8400

7867 N Kendall Dr
Ste 120
Miami, FL 33156
Phone (305) 279-2674

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

11528 US Highway 19
#C
Port Richey, FL 34668
Phone (727) 868-2151

9238 US Highway 19
Port Richey, FL 34668
Phone (727) 446-5633

11528 US Highway 19
Port Richey, FL 34668
Phone (727) 868-2151

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

2229 N Commerce Pkwy
Ste 150
Weston, FL 33326
Phone (954) 349-0054

6900 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-6736

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

102 Hospital Cir
Donalsonville, GA 39845
Phone (229) 524-8489

2401 W Belvedere Ave
Baltimore, MD 21215

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

9601 Blackwell Rd
Ste 150
Rockville, MD 20850
Phone (240) 864-1100

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rblack1117691@direct.hfhs.org
  • Direct secure messaging: rblack427743@direct.llu.edu

Organizations & group practices 32

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.

View all 32

Hospital & facility affiliations 6

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": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1093798720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 89",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440220089",
            "telephone_number": "216-245-0203",
            "fax_number": "440-893-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28062 BAXTER RD",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631401",
            "telephone_number": "951-290-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "512 E Washington St",
            "address_purpose": "LOCATION",
            "city": "Chagrin Falls",
            "state": "OH",
            "postal_code": "440224447",
            "country_code": "US",
            "telephone_number": "216-245-0203",
            "fax_number": "440-893-9680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Mercy Ave",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953408319",
            "country_code": "US",
            "telephone_number": "209-564-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "RICHARD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34003488",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "OH",
            "license": "34003488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019707330001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PTAN",
            "identifier": "3312151 00",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8470726",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BL4212094",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0834262",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.