Active NPI
William L Black Jr., M.D.
- Pediatrics Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01042757A
- Practice address
- 6002 E 38TH St
Indianapolis, IN 46226-5614 - Phone
- (317) 880-6002
- Fax
- (317) 880-0417
- NPI assigned
- Jul 10, 2006
- 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 | 01042757A | IN | |
| Pediatrics Physician | 208000000X | 01042757A | IN | Primary |
Addresses
Primary practice location
6002 E 38TH St
Indianapolis, IN 46226-5614
Mailing address
PO Box 637764
Cincinnati, OH 45263-7764
Phone (317) 880-3939
Other practice location 1
1485 Chester Blvd
Richmond, IN 47374-1919
Phone (765) 966-5527
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3160510 | Medicaid | OH | |
| 000000681708 | Other | ANTHEM BCBS (RPA) | |
| 201003480 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wblack301922@ReidHealth.direct-ci.com | Reid Physician Associates, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Cincinnati College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2732 W Michigan St
Eskenazi Health Center
Indianapolis, IN 46222-3750
Phone (317) 554-4600
6002 E 38TH St
Eskenazi Health Center
Indianapolis, IN 46226-5614
Phone (317) 880-6002
Hospital & facility affiliations
- Eskenazi Health
- Reid Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01042757A | IN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Health and Hospital Corporation of Marion County | Current | Accepting new patients | |
| The Health and Hospital Corporation of Marion County | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Reid Hospital & Health Care Services, Inc | Past | Accepting new patients |
Locations
2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600
1660 N Illinois St
Indianapolis, IN 46202
Phone (317) 880-2900
720 Eskenazi Ave
Bldg 5TH
Indianapolis, IN 46202
Phone (317) 880-3818
5525 W 34th St
Indianapolis, IN 46224
Phone (317) 848-7368
1112 Southeastern Ave
Indianapolis, IN 46202
Phone (317) 423-8909
2700 Martin Luther King Jr St
Indianapolis, IN 46208
Phone (317) 931-4300
5515 W 38th St
Indianapolis, IN 46254
Phone (317) 880-3838
9443 E 38th St
Indianapolis, IN 46235
Phone (317) 890-2100
6940 Michigan Rd
Ste 140
Indianapolis, IN 46268
Phone (317) 266-2901
6002 E 38th St
Indianapolis, IN 46226
Phone (317) 880-0280
3010 N White River Parkway East Dr
Indianapolis, IN 46208
Phone (317) 880-3535
Interoperability endpoints
- wblack301922@reidhealth.direct-ci.com
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 and National Provider Directory roles.
-
- Nurse Practitioner
- Indianapolis, IN
- NPI 1104027879
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Indianapolis, IN
- NPI 1871311779
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Anatomic Pathology & Clinical Pathology Physician
- Richmond, IN
- NPI 1437188786
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond, IN
- NPI 1063457380
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1568407310
-
- Methadone Clinic
- Indianapolis, IN
- NPI 1760922249
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1609800598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 637764",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452637764",
"telephone_number": "317-880-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6002 E 38TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462265614",
"telephone_number": "317-880-6002",
"fax_number": "317-880-0417"
}
],
"practiceLocations": [
{
"address_1": "1485 Chester Blvd",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "IN",
"postal_code": "473741919",
"country_code": "US",
"telephone_number": "765-966-5527",
"fax_number": "765-966-5527",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLACK",
"first_name": "WILLIAM",
"middle_name": "L",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01042757A",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01042757A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3160510",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS (RPA)",
"identifier": "000000681708",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201003480",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wblack301922@ReidHealth.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Reid Physician Associates, Inc.",
"address_1": "1485 Chester Blvd",
"city": "Richmond",
"state": "IN",
"country_code": "US",
"postal_code": "473741919",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.