JUSTIN RAY BLACK (M.D.) – Anesthesiology Physician, NPI 1740436781
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,631 ANESTHESIOLOGY in IL
Provider Addresses for JUSTIN RAY BLACK (M.D.)
3546, Willow Street, Flossmoor, Rich Township, Cook County, Illinois, 60422, United States
FLOSSMOOR, IL 604222243
Phone: (708) 922-9299
Type: Mailing
5841 S MARYLAND AVE # MC4028
CHICAGO, IL 606371447
Phone: (773) 702-6700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2015-04-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111110000313 | I | Anesthesiology | DC | TBD |
| I20150408001780 | I | Anesthesiology | MD | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 17 | 17 | $0 |
| 00142 | Anesthesia for lens surgery | 15 | 15 | $0 |
| 00400 | Anesthesia for other procedure on skin of arms, legs, and front body | 12 | 11 | $0 |
| 01844 | Anesthesia for placement or revision of blood flow shunt | 11 | 11 | $0 |
Insurance plans in this area (ZIP 60422)
Loading plans...
Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MD | |
| - | MD | |
| - | MD | |
| - | MD | |
| Internal Medicine | MD | |
| Critical Care (Intensivists), Sleep Medicine, Pulmonary Disease | MD | |
| - | MD | |
| Diagnostic Radiology, Interventional Radiology | PA | |
| Geriatric Medicine, Internal Medicine | MD | |
| Orthopedic Surgery | MD |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.