DR. NICHOLAS DEAN BLACK (MD) – Emergency Medicine Physician, NPI 1154852689

DR. NICHOLAS DEAN BLACK (MD) is a healthcare provider. based in Fresno, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. A157708 (CA). The NPI Number for DR. NICHOLAS DEAN BLACK (MD) is 1154852689

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICHOLAS DEAN BLACK (MD)
NPI
1154852689
Phone
(559) 499-6440
Address
155 N FRESNO ST
Enumeration Date
26 March 2017
Last Update Date
2 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5594596000
Graduation Year
2017 (9 years ago)
PAC ID
2062812514
Group Practice PAC ID
8325952773
Professional Enrollment ID
I20210621002079
Address ID
CA937211324FR2823XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

5,790 EMERGENCY MEDICINE in CA

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Provider Addresses for DR. NICHOLAS DEAN BLACK (MD)

  • 155, North Fresno Street, Fresno, Fresno County, California, 93701, United States

    FRESNO, CA 937012302

    Phone: (559) 499-6440

    Type: Mailing

  • 2625 E DIVISADERO ST

    FRESNO, CA 937211431

    Phone: (559) 443-2682

    Fax: (559) 443-2681

    Type: Mailing

  • 2823 FRESNO ST

    FRESNO, CA 937211324

    Phone: (559) 443-2682

    Fax: (559) 443-2681

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-06-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210621002079IEmergency MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making151147$0
99284Emergency department visit with moderate level of medical decision making6661$0
99291Critical care, first 30-74 minutes2727$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1717$0
99283Emergency department visit with low level of medical decision making1615$0
View full utilization report →

Insurance plans in this area (ZIP 93701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325952773View full group profile
NameSpecialtyState
Emergency MedicineCA
Endocrinology, Internal MedicineCA
Hospice/Palliative Care, Internal MedicineCA
Emergency MedicineRI
Emergency MedicineCA
Emergency Medicine, Medical ToxicologyCA
Emergency MedicineCA
Hospitalist, Internal MedicineCA
Emergency Medicine, Hospice/Palliative CareCA
Emergency MedicineCA

Reviews

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Frequently asked questions

Does DR. NICHOLAS DEAN BLACK (MD) have a public NPI I can cite?
Public records show DR. NICHOLAS DEAN BLACK (MD) under NPI 1154852689.
Does the public listing show DR. NICHOLAS DEAN BLACK (MD) as active?
DR. NICHOLAS DEAN BLACK (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. NICHOLAS DEAN BLACK (MD)'s specialty?
The extract shows Emergency Medicine Physician for DR. NICHOLAS DEAN BLACK (MD). Clinical services aligned with this taxonomy classification.
Is DR. NICHOLAS DEAN BLACK (MD) tied to Fresno, California?
If you are local to Fresno, California, DR. NICHOLAS DEAN BLACK (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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