Individual provider Active NPI

Robert D Black, M.D.

  • Pulmonary Disease Physician
  • Dallas, TX
National Provider Identifier
1902808827
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
F6448 Issued in TX
Practice address
3600 Gaston Avenue
Suite 806
Dallas, TX 75246-1808
Phone
(214) 824-8521
Fax
(214) 827-8840
NPI assigned
Aug 11, 2005
Last updated
May 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X F6448 TX Primary

Addresses

Primary practice location

3600 Gaston Avenue
Suite 806
Dallas, TX 75246-1808

Mailing address

3600 Gaston Avenue
Suite 806
Dallas, TX 75246-1808
Phone (214) 824-8521

Other identifiers 1

IdentifierTypeStateIssuer
099771002MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rblack424440@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20101124000547 TX Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 1355472804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of Texas Southwestern Medical School at Dallas, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

3600 Gaston Ave
Suite 656
Dallas, TX 75246-1906
Phone (214) 820-3466

4001 Worth St
Dallas, TX 75246-1608

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jan 7, 2019 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 7, 2019 Accepting new patients
Healthtexas Provider Network Past Accepting new patients
Transplant Associates of Baylor Health Care System, PA Past Accepting new patients

Locations

3500 Gaston Ave
Dallas, TX 75246

3600 Gaston Ave
Ste 710
Dallas, TX 75246
Phone (214) 824-8521

3600 Gaston Ave
Ste 806
Dallas, TX 75246
Phone (214) 824-8521

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

Interoperability endpoints

  • Direct secure messaging: rblack424440@direct.sw.org

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 1

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1902808827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVENUE",
            "address_2": "SUITE 806",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461808",
            "telephone_number": "214-824-8521",
            "fax_number": "214-827-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVENUE",
            "address_2": "SUITE 806",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461808",
            "telephone_number": "214-824-8521",
            "fax_number": "214-827-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "ROBERT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "F6448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099771002",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rblack424440@direct.sw.org",
            "affiliation": "N",
            "address_1": "3600 Gaston Avenue",
            "address_2": "Suite 806",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752461808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.