Individual provider Active NPI

Sonya L Black, MD

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1568592327
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41083 Issued in CO
Practice address
425 S Cherry St Ste 410
Denver, CO 80246-1231
Phone
(303) 333-3388
Fax
(303) 333-5094
NPI assigned
Mar 7, 2007
Last updated
Apr 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 41083 CO Primary

Addresses

Primary practice location

425 S Cherry St Ste 410
Denver, CO 80246-1231

Mailing address

425 S Cherry St Ste 410
Denver, CO 80246-1231
Phone (303) 333-3388

Other identifiers 2

IdentifierTypeStateIssuer
015808OtherKAISER-COMMERCIAL NUMBER
00904716MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20040913000313 CO Practitioner - Family Practice 7214904044 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41083COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Solutions Glendale, P.C. Family Medicine CurrentSince Sep 1, 2019 Accepting new patients

Locations

3800 Irving St
Ste 10
Denver, CO 80211
Phone (303) 477-6000

777 E Speer Blvd
Ste 100
Denver, CO 80203
Phone (303) 733-4000

760 S Colorado Blvd
Unit A
Glendale, CO 80246
Phone (303) 692-8000

Interoperability endpoints

  • Direct secure messaging: sonya.black.1@14940.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1568592327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S CHERRY ST STE 410",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461231",
            "telephone_number": "303-333-3388",
            "fax_number": "303-333-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S CHERRY ST STE 410",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461231",
            "telephone_number": "303-333-3388",
            "fax_number": "303-333-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "SONYA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "41083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER-COMMERCIAL NUMBER",
            "identifier": "015808",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00904716",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.