NPIMap

Individual provider Active NPI

Mark A Black, M.D.

  • Emergency Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1598939340
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME-124249 Issued in FL
Practice address
1122 NE 13TH St # 1200
Oklahoma City, OK 73117-1039
Phone
(405) 271-8558
NPI assigned
Apr 14, 2008
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 46888 OK
Emergency Medicine Physician 207P00000X ME-124249 FL Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 46888 OK
Emergency Medicine Physician 207P00000X 253622 NY

Addresses

Primary practice location

1122 NE 13TH St # 1200
Oklahoma City, OK 73117-1039

Mailing address

1122 NE 13TH St # 1200
Oklahoma City, OK 73117-1039
Phone (405) 271-8558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250522002127 KS Practitioner - Emergency Medicine 9931628963 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rock Regional Hospital LLCGroup PAC ID 8325386634, 21 clinicians

Practice addresses (Care Compare)

3251 N Rock Rd
Derby, KS 67037-3850
Phone (316) 425-2400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME-124249FLMDEmergency Medicine Physician
253622NYMDEmergency Medicine Physician
46888OKMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newman Memorial County Hospital Current Accepting new patients
Rock Regional Hospital, LLC CurrentSince Sep 2, 2025 Accepting new patients
Vep Hutchinson Emergency Medical Group, LLC Emergency Medicine CurrentSince Apr 10, 2025 Accepting new patients
Newman Memorial County Hospital CurrentSince Oct 1, 2025 Accepting new patients

Locations

3251 N Rock Rd
Derby, KS 67037
Phone (316) 425-2400

1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

1701 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 665-2117

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1598939340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 NE 13TH ST # 1200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171039",
            "telephone_number": "405-271-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 NE 13TH ST # 1200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171039",
            "telephone_number": "405-271-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OK",
            "license": "46888",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME-124249",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "OK",
            "license": "46888",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "253622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.