Michael B. Black, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME81928 Issued in FL

Practice address

1613 Harrison Pkwy
#200
Sunrise, FL 33323-2853

Phone

(954) 838-2371

Fax

(951) 851-1758

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA, FL2 enrollments

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 2

Specialty

Anesthesiology

Education

Albert Einstein College of Medicine of Yeshiva University, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians

Anesthesia Medicine Services of FL LLCGroup PAC ID 9537524343, 166 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Citrus Hospital Hospital, Inverness, FL, CCN 100023
• Wellington Regional Medical Center Hospital, Wellington, FL, CCN 100275
• HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mblack12208@mhsdirect.net

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.

• Sheridan Healthcorp Inc

  • Anesthesiology Physician
  • Okeechobee, FL
  • NPI 1629781711
  Medicare reassignment Care Compare group NPD
• Anesthesia Medicine Services of FL, LLC

  • Anesthesiology Physician
  • Miami, FL
  • NPI 1346947496
  Medicare reassignment Care Compare group
• Anesthesia Physician Solutions of South Florida, LLC

  • Anesthesiology Physician
  • Miami, FL
  • NPI 1104248699
  Medicare reassignment NPD
• Jupiter Anesthesia Associates LLC

  • Anesthesiology Physician
  • Jupiter, FL
  • NPI 1700073848
  Medicare reassignment NPD
• Sunshine State Anesthesia Partners LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1437757127
  Medicare reassignment NPD
• Dogwood Anesthesia Providers, LLC

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1982329900
  Medicare reassignment NPD
• Surgical Anesthesia Associates, PLLC

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1811930647

  VA

  Medicare reassignment NPD
• Coral Anesthesia Associates, Inc

  • Anesthesiology Physician
  • Sarasota, FL
  • NPI 1417221771
  Medicare reassignment
• Jupiter Anesthesia Associates LLC

  • Anesthesiology Physician
  • Jupiter, FL
  • NPI 1003581398
  NPD
• Jupiter Anesthesia Associates LLC

  • Anesthesiology Physician
  • Jupiter, FL
  • NPI 1912266586
  NPD
• Sheridan Drozdow Healthcare of Nevada PC

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1003019266
  NPD (past)
• Sheridan Healthcare of Colorado PC

  • Certified Registered Nurse Anesthetist
  • Pueblo, CO
  • NPI 1437132990

  Anesthesiology

  NPD (past)

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

• Citrus Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Inverness, FL
  • NPI 1750780342
  Care Compare affiliation
• Lawnwood Medical Center Inc

  • General Acute Care Hospital
  • Fort Pierce, FL
  • NPI 1568409647
  Care Compare affiliation
• Wellington Regional Medical Center LLC

  • General Acute Care Hospital
  • Wellington, FL
  • NPI 1720078702
  Care Compare affiliation

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1669446167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12598 PINK MYRTLE CT",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334737127",
            "telephone_number": "954-288-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 HARRISON PKWY",
            "address_2": "#200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232853",
            "telephone_number": "954-838-2371",
            "fax_number": "951-851-1758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12598 Pink Myrtle Ct",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334737127",
            "country_code": "US",
            "telephone_number": "954-288-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "MICHAEL",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME81928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260780800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mblack12208@MHSDIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1613 Harrison Pkwy",
            "address_2": "#200",
            "city": "Sunrise",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333232853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sandeep Kumar Biswas, PT
• Balkys Lamercie Bivins, ARNP
• Marc Hugh Bivins, MD
• Bja Inc
• Craig Scott Black, DO
• Eileen M. Blackburn, PA-C
• Anne B. Blackstone
• Ludwig Blake
• Lenette Blanco, ARNP
• Stephen H. Blanton, CRNA

• Anesthesiology Physician in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.