Christopher Philip Black, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

185396 Issued in NY

Practice address

18983 US Route 11
Watertown, NY 13601-5320

Phone

(315) 782-0059

Fax

(315) 782-0226

NPI assigned

Nov 18, 2005

Last updated

Mar 15, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Family PracticeAlso: Emergency Medicine

Education

Uniformed Services Uhs Fe Hebert School of Med, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Care Services of New York PCGroup PAC ID 3678678646, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oneida Health Hospital Hospital, Oneida, NY, CCN 330115
• University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241
• Central Park Rehabilitation and Nursing Center Nursing home, Syracuse, NY, CCN 335253
• Nottingham R H C F Nursing home, Jamesville, NY, CCN 335800

Merit-based Incentive Payment System (MIPS)

Final score

89.72 of 100Reported as apm

Quality

72.97

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Emergency Care Services of New York, P.C.

  • Emergency Medicine Physician
  • Syracuse, NY
  • NPI 1639236656
  Medicare reassignment Care Compare group NPD
• Nes Medical Services of New York PC

  • Emergency Medicine Physician
  • Bath, NY
  • NPI 1215455191
  Medicare reassignment NPD
• New York General Medical Services PC

  • Hospitalist Physician
  • New York, NY
  • NPI 1700315538
  Medicare reassignment NPD
• CS Pacs 3 Northeast, LLC

  • Hospitalist Physician
  • Frederick, MD
  • NPI 1093598898

  NY

  Medicare reassignment NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809

  NY

  Medicare reassignment NPD
• Statline Medical PC

  • Internal Medicine Physician
  • Cortlandt Manor, NY
  • NPI 1942872759
  Medicare reassignment
• Medical Services of Suffolk County PC

  • Emergency Medicine Physician
  • Lowville, NY
  • NPI 1518303809
  NPD
• Nes Medical Services of New York PC

  • Emergency Medicine Physician
  • Elmira, NY
  • NPI 1831742816
  NPD
• Medical Services of Suffolk County PC

  • Emergency Medicine Physician
  • Philadelphia, PA
  • NPI 1811235724
  NPD
• Auburn Senior Services, Inc.

  • Skilled Nursing Facility
  • Auburn, NY
  • NPI 1740610575
  NPD (past)
• Cprnc, LLC

  dba Central Park Rehabilitation and Nursing Center

  • Skilled Nursing Facility
  • Syracuse, NY
  • NPI 1386899771
  NPD (past)
• Loretto Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Syracuse, NY
  • NPI 1588650873
  NPD (past)

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

• Oneida Health Systems, Inc

  dba Oneida Healthcare Center

  • General Acute Care Hospital
  • Oneida, NY
  • NPI 1962408203
  Care Compare affiliation
• Suny Health Science Center at Syracuse

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1578554630
  Care Compare affiliation
• The Nottingham Residential Health Care Facility

  • Skilled Nursing Facility
  • Jamesville, NY
  • NPI 1417931619

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1396727749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18983 US ROUTE 11",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015320",
            "telephone_number": "315-782-0059",
            "fax_number": "315-782-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18983 US ROUTE 11",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015320",
            "telephone_number": "315-782-0059",
            "fax_number": "315-782-0226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 Genesee St",
            "address_purpose": "LOCATION",
            "city": "Oneida",
            "state": "NY",
            "postal_code": "134212611",
            "country_code": "US",
            "telephone_number": "315-363-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "CHRISTOPHER",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "185396",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "185396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhupinder Singh Bolla MD PLLC (Pain Solutions of Northern New York)
• John Henry Bialik, PA
• Willard James Bice
• Erin L. Birchenough, NP
• Kelly Rose Birchenough, D.O.
• Julee Blackwell
• Joyce Blosser
• Nana Adjeiwaa Afua Boakye, DDS
• Laura Ellen Boggs, DO
• Mia Boissevain

• Family Medicine Physician in Watertown, NY
• Providers in Watertown, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.

Verify at the official NPI Registry.