DR. JASON W BLACK (M.D.) – Geriatric Medicine (Family Medicine) Physician, NPI 1245259902

DR. JASON W BLACK (M.D.) is a healthcare provider. based in Baltimore, Maryland. specializing in FAMILY PRACTICE, FAMILY PRACTICE, HOSPICE/PALLIATIVE CARE, GERIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. D61199 (MD). The NPI Number for DR. JASON W BLACK (M.D.) is 1245259902

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. JASON W BLACK (M.D.)
NPI
1245259902
Phone
(443) 849-3184
Address
6701 N CHARLES ST
Enumeration Date
19 July 2006
Last Update Date
21 December 2011

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Secondary Phone
4103396200
Graduation Year
1996 (30 years ago)
PAC ID
2264494749
Group Practice PAC ID
9830144591
Professional Enrollment ID
I20050510001205
Address ID
MD212868403TO800XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,488 FAMILY PRACTICE in MD

Loading map...

Provider Addresses for DR. JASON W BLACK (M.D.)

  • Greater Baltimore Medical Center, 6701, North Charles Street, Towson, Baltimore County, Maryland, 21204, United States

    STE 4105

    BALTIMORE, MD 212046808

    Phone: (443) 849-3184

    Type: Location

  • PO BOX 41895

    BOSTON, MA 022418953

    Phone:

    Type: Mailing

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: 2004-10-27

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
I20041027000778IGeriatric MedicineMDTBD

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
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes247104$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes17597$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes6426$0
99344Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes2727$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes2518$0
View full utilization report →

Insurance plans in this area (ZIP 21204)

Loading plans...

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: 9830144591View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeMD
Occupational Therapist In Private PracticeMD
Qualified Speech Language PathologistMD
Occupational Therapist In Private PracticeMD
Internal Medicine, Geriatric MedicineMD
Occupational Therapist In Private PracticeMD
Qualified Speech Language PathologistMD
Nurse PractitionerMD
Internal Medicine, Hospice/Palliative Care, Geriatric MedicineMA
Occupational Therapist In Private PracticeMD

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.

Frequently asked questions

What is the standard ID for DR. JASON W BLACK (M.D.) in the U.S.?
In the U.S., DR. JASON W BLACK (M.D.) is identified by NPI 1245259902.
Quick check: is DR. JASON W BLACK (M.D.) active?
Public NPPES data shows DR. JASON W BLACK (M.D.) with an active NPI status right now.
What type of care does DR. JASON W BLACK (M.D.) provide?
DR. JASON W BLACK (M.D.)'s profile centers on Geriatric Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is DR. JASON W BLACK (M.D.) tied to Baltimore, Maryland?
If you are local to Baltimore, Maryland, DR. JASON W BLACK (M.D.) 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.

Similar Providers

416 ALBEMARLE SQ
NPI: 1144225277

GEORGE HENNAWI (MD)

Geriatric Medicine (Family Medicine) Physician
MedStar Good Samaritan Hospital, 5601, Loch Raven Boulevard, Woodbourne Heights, Baltimore, Maryland, 21239, United States
NPI: 1336140524

SARITA SHARMA (M.D.)

Geriatric Medicine (Family Medicine) Physician
Wyman Park Building, 3100, Wyman Park Drive, Remington, Baltimore, Maryland, 21211, United States
NPI: 1902808835

Unknown Individual

Geriatric Medicine (Family Medicine) Physician
5525, Research Park Drive, Catonsville, Baltimore County, Maryland, 21228, United States
NPI: 1568438208

DR. ETOSHA D DIXON (M.D.)

Geriatric Medicine (Family Medicine) Physician
4538 Edmondson Ave
NPI: 1063473551

MARGARET BASILIADIS (DO)

Family Medicine Physician
5348 Davis Blvd
NPI: 1639134380

GBMC, Inc.

Family Medicine Physician
PO BOX 418953
NPI: 1275584583

DR. CRYSTAL SIMPSON (M.D.)

Geriatric Medicine (Family Medicine) Physician
10 N Greene St
NPI: 1952341695