Active NPI
Andrew H Black, MD
- Anesthesiology Physician
- Longmont, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- CDRH.0053235
- Practice address
- 1750 E Ken Pratt Blvd
Longmont, CO 80504-5311 - Phone
- (720) 718-7000
- NPI assigned
- Jun 29, 2006
- Last updated
- Oct 7, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | W1556 | TX | |
| Anesthesiology Physician | 207L00000X | CDRH.0053235 | CO | Primary |
| Anesthesiology Physician | 207L00000X | 63099 | AZ | |
| Anesthesiology Physician | 207L00000X | MD2006-0103 | NM |
Addresses
Primary practice location
1750 E Ken Pratt Blvd
Longmont, CO 80504-5311
Mailing address
4228 Prairie Fire Cir
Longmont, CO 80503-6414
Phone (505) 715-9432
Other practice location 1
9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, CO, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Pine St
Abilene, TX 79601-2432
Phone (325) 670-2000
4740 Pearl Pkwy
Suite 100
Boulder, CO 80301-3082
Phone (303) 938-5470
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63099 | AZ | MD | Anesthesiology Physician |
| CDRH.0053235 | CO | MD | Anesthesiology Physician |
| MD2006-0103 | NM | MD | Anesthesiology Physician |
| W1556 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Hendrick Anesthesia Network | Current | Accepting new patients | |
| Anesthesia Associates of New Mexico P C | Current | Accepting new patients | |
| Boulder Valley Anesthesiology, PLLC | Anesthesiology | Current | Accepting new patients |
| Boulder Pain Institute, PC | Anesthesiology | Past | Accepting new patients |
Locations
1100 Balsam Ave
Boulder, CO 80304
Phone (303) 415-7000
4740 Pearl Pkwy
Ste 100
Boulder, CO 80301
Phone (303) 938-5393
4747 Arapahoe Ave
Boulder, CO 80303
Phone (303) 415-7000
10170 Church Ranch Way
Westminster, CO 80021
Phone (303) 328-3400
1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124
1720 Louisiana Blvd NE
Ste 401
Albuquerque, NM 87110
Phone (505) 260-4300
8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220
6250 US Highway 83
Abilene, TX 79606
Phone (325) 428-3900
6399 Directors Pkwy
Ste 100
Abilene, TX 79606
Phone (325) 794-5450
751 N 18th St
Abilene, TX 79601
Phone (915) 676-0557
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Boulder, CO
- NPI 1962431668
-
- Specialist
- Abilene, TX
- NPI 1851394993
-
- Specialist
- Albuquerque, NM
- NPI 1912900754
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Pain Medicine (Anesthesiology) Physician
- Boulder, CO
- NPI 1639367493
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longmont, CO
- NPI 1154876985
-
- General Acute Care Hospital
- Abilene, TX
- NPI 1528064649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791331200000",
"number": "1396773255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4228 PRAIRIE FIRE CIR",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805036414",
"telephone_number": "505-715-9432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 E KEN PRATT BLVD",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805045311",
"telephone_number": "720-718-7000"
}
],
"practiceLocations": [
{
"address_1": "9003 E Shea Blvd",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852606709",
"country_code": "US",
"telephone_number": "480-323-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLACK",
"first_name": "ANDREW",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "W1556",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "CDRH.0053235",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "63099",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NM",
"license": "MD2006-0103",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; 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.