DR. ROBERT E III BLACK (MD) – Anesthesiology Physician, NPI 1003015728

DR. ROBERT E III BLACK (MD) is a healthcare provider. based in Fort lauderdale, Florida. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 67920 (GA). The NPI Number for DR. ROBERT E III BLACK (MD) is 1003015728

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT E III BLACK (MD)
NPI
1003015728
Phone
(800) 243-3839
Address
PO BOX 551420
Enumeration Date
12 July 2007
Last Update Date
2 April 2014

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
6783121000
Graduation Year
2007 (19 years ago)
PAC ID
8123274958
Group Practice PAC ID
5496134348
Professional Enrollment ID
I20120810000445
Address ID
GA300467694LA1000XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,330 ANESTHESIOLOGY in GA

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Provider Addresses for DR. ROBERT E III BLACK (MD)

  • PO BOX 551420

    FORT LAUDERDALE, FL 333551420

    Phone: (800) 243-3839

    Fax: (954) 839-2569

    Type: Mailing

  • Gwinnett Medical Center, 1000, Medical Center Boulevard, Lawrenceville, Gwinnett County, Georgia, 30046, United States

    LAWRENCEVILLE, GA 300460000

    Phone: (770) 277-3056

    Fax: (855) 204-5244

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $1,024.

Total Amount is formed as General ($1,024) + Research ($0) + Ownership ($0) = $1,024.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Boston Scientific Corporation ($453).

Total Amount

$1,024

General + Research + Ownership

Payments

49

Total payment records

General Amount

$1,024

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2021-12-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20120810000445IAnesthesiologyGATBD
I20211222002313IAnesthesiologyILTBD

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
36620Insertion of artery tube for blood sampling or infusion through skin7876$0
00537Anesthesia for procedure to assess heart electrical activity3736$0
93503Insertion of tube in pulmonary artery for monitoring3737$0
01926Anesthesia for x-ray on artery of brain, heart, or chest3333$0
76937Ultrasonic guidance for blood vessel access3333$0
View full utilization report →

Insurance plans in this area (ZIP 33355)

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Provider's Procedures

DR. ROBERT E III BLACK (MD) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYGA00790Anesthesia for procedure in upper abdomen including use of an endoscope1919
ANESTHESIOLOGYGA76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1111

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: 5496134348View full group profile
NameSpecialtyState
Anesthesiology AssistantFL
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology AssistantGA
Anesthesiology AssistantGA
Anesthesiology AssistantGA
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YGA
Certified Registered Nurse Anesthetist (Crna)FL

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Frequently asked questions

What is the standard ID for DR. ROBERT E III BLACK (MD) in the U.S.?
In the U.S., DR. ROBERT E III BLACK (MD) is identified by NPI 1003015728.
Is DR. ROBERT E III BLACK (MD)'s NPI status active today?
Active status means DR. ROBERT E III BLACK (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. ROBERT E III BLACK (MD)?
NPPES ties DR. ROBERT E III BLACK (MD) to Anesthesiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. ROBERT E III BLACK (MD) tied to Fort Lauderdale, Florida?
If you are local to Fort Lauderdale, Florida, DR. ROBERT E III BLACK (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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