DR. JANIS G BLACK (DO) – Family Medicine Physician, NPI 1699721548

DR. JANIS G BLACK (DO) is a healthcare provider. based in Cocoa, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. OS9694 (FL). The NPI Number for DR. JANIS G BLACK (DO) is 1699721548

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. JANIS G BLACK (DO)
NPI
1699721548
Phone
(321) 633-5500
Address
3740 CURTIS BLVD
Enumeration Date
25 May 2006
Last Update Date
25 February 2013

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
3216335500
Graduation Year
1999 (27 years ago)
PAC ID
7618973835
Group Practice PAC ID
2769559749
Professional Enrollment ID
I20061011000647
Address ID
FL329273962CO3740XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,723 FAMILY PRACTICE in FL

Provider Addresses for DR. JANIS G BLACK (DO)

  • 3740 CURTIS BLVD

    SUITE 108

    COCOA, FL 329273962

    Phone: (321) 633-5500

    Fax: (321) 633-5566

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $987.

Total Amount is formed as General ($987) + Research ($0) + Ownership ($0) = $987.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: ABBVIE INC. ($219).

Total Amount

$987

General + Research + Ownership

Payments

48

Total payment records

General Amount

$987

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2006-10-11

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
I20061011000647IFamily PracticeFLTBD

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
36415Insertion of needle into vein for collection of blood sample808308$0
99213Established patient office or other outpatient visit, 20-29 minutes625246$0
83036Hemoglobin a1c level337191$0
81003Automated urinalysis test251197$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit244244$0
View full utilization report →

Insurance plans in this area (ZIP 32927)

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Provider's Procedures

DR. JANIS G BLACK (DO) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEFL90670Pneumococcal vaccine for injection into muscle7979

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: 2769559749View full group profile
NameSpecialtyState
Nurse PractitionerFL

Reviews

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Frequently asked questions

Does DR. JANIS G BLACK (DO) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JANIS G BLACK (DO) uses 1699721548.
Can I rely on DR. JANIS G BLACK (DO) being an active provider?
As of the registry snapshot, DR. JANIS G BLACK (DO) is marked active.
What is DR. JANIS G BLACK (DO) best known for clinically?
Directory data describes DR. JANIS G BLACK (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. JANIS G BLACK (DO) list a practice location?
Patients near Cocoa, Florida may find DR. JANIS G BLACK (DO) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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