Active NPI
Richard R Black, DO
- Nuclear Medicine Physician
- Murrieta, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- 34003488
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019707330001 | Medicaid | PA | |
| 3312151 00 | Other | MD | MEDICAID PTAN |
| 8470726 | Medicaid | WA | |
| BL4212094 | Other | OH | MEDICARE PTAN |
| 0834262 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, FL, MD, GA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
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
- HCA Florida Highlands Hospital
- Lima Memorial Health System
- Holy Cross Hospital
- Ascension Sacred Heart Bay
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.07 of 100
- Quality
- 71.65
- Promoting interoperability
- 98
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.23 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 34003488 | OH | MD | Internal Medicine Physician |
Practice roles (31 of 33)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vesta Telemedicine Solutions, PLLC | Current | Accepting new patients | |
| Cancer Institutes of Washington, PLLC | Current | Accepting new patients | |
| Hagerstown Imaging LLC | Current | Accepting new patients | |
| Lima Memorial Professional Corporation | Internal Medicine | Current | Accepting new patients |
| Partners in Imaging Inc | Current | Accepting new patients | |
| Elite Imaging, LLC | Current | Accepting new patients | |
| Lima Memorial Professional Corporation | Current | Accepting new patients | |
| Adventist Physician Services, Inc. | Current | Accepting new patients | |
| S M S DO PA | Internal Medicine | Current | Accepting new patients |
| Blackwell Physicians, LLC | Current | Accepting new patients | |
| Rose Radiology Centers, LLC | Current | Accepting new patients | |
| Mori Bean and Brooks Inc | Current | Accepting new patients | |
| Lifebridge Community Physicians, Inc | Current | Accepting new patients | |
| Lifebridge Community Physicians Inc | Current | Accepting new patients | |
| Lifebridge Community Physicians, Inc | Current | Accepting new patients | |
| Professional Services of Holy Cross | Current | Accepting new patients | |
| Professional Services of Holy Cross | Current | Accepting new patients | |
| Vesta Telemedicine Solutions, PC | Current | Accepting new patients | |
| Eastpointe Radiologists, P.C. | Nuclear Medicine | Current | Accepting new patients |
| Donalsonville Hospital Inc | Current | 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 | Past | 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 | Past | 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
- rblack1117691@direct.hfhs.org
- 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.
-
- Cardiovascular Disease Physician
- Timonium, MD
- NPI 1174815807
-
- Specialist
- Lima, OH
- NPI 1457474900
-
- Diagnostic Radiology Physician
- Aventura, FL
- NPI 1356441448
-
- Health Service Clinic/Center
- Silver Spring, MD
- NPI 1487692828
DC
-
- Physical Medicine & Rehabilitation Physician
- Gaithersburg, MD
- NPI 1376623207
DC
-
- Rural Acute Care Hospital
- Donalsonville, GA
- NPI 1720095805
-
- Diagnostic Radiology Physician
- Detroit, MI
- NPI 1881642056
Nuclear Medicine, OH
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1720078041
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
-
- General Acute Care Hospital
- Silver Spring, MD
- NPI 1669417838
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- General Acute Care Hospital
- Sebring, FL
- NPI 1598282246
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.